NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Question 1 of 5
A nurse manager considers changing staff assignments from 8 hour shifts to 12 hour shifts. A staff-selected planning committee has approved the change, yet the staff are not receptive to the plan. As a change agent, the nurse manager should first
Correct Answer: B
Rationale: The manager is ultimately responsible for delivery of care and yet has given a committee chosen by staff the right to approve or disapprove the change. Planned change involves exploring barriers and restraining forces before implementing change.
To smooth acceptance of the change, restraining factors need to be evaluated.
Question 2 of 5
The nurse is caring for a client suspected of having hepatitis A. Which item in the client's history is most likely related to the development of hepatitis A?
Correct Answer: B
Rationale: Hepatitis A is transmitted via the fecal-oral route, often in areas with poor sanitation like parts of India. Blood donation, transfusions, or cholecystectomy are not typical risk factors.
Question 3 of 5
A client scheduled for a computerized axial tomography (CAT) using a contrast medium scan of the brain should be assessed for:
Correct Answer: B
Rationale: Contrast medium often contains iodine, so assessing for iodine sensitivity prevents allergic reactions. Claustrophobia, liver function, and implants are secondary concerns.
Question 4 of 5
The nurse is caring for a client with overflow urinary incontinence related to diabetic neuropathy. Which of the following interventions are appropriate?
Correct Answer: C,D,E
Rationale: Inspecting for skin breakdown (
C), measuring postvoid residuals (
D), and double voiding (E) manage overflow incontinence. Restricting fluids (
A) risks dehydration, and bearing down (
B) may worsen incontinence.
Question 5 of 5
The client is admitted to the unit with a potassium level of $2.4 \mathrm{meq} / \mathrm{L}$. The client with a potassium level of $2.4 \mathrm{meq} / \mathrm{L}$ would exhibit symptoms of:
Correct Answer: B
Rationale: Hypokalemia (low potassium, 2.4 meq/L) causes symptoms like U waves on ECG, muscle weakness, and cramps. Peaked T waves occur in hyperkalemia. Muscle rigidity is not typical, and rapid respirations are more associated with acid-base imbalances.