NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
A postoperative client with obesity and diabetes mellitus has an abdominal wound and is at risk for poor wound healing. Which of the following interventions does the nurse anticipate to prevent wound dehiscence? Select all that apply.
Correct Answer: B, D, E
Rationale: Abdominal binder (
B), glucose control (
D), and pillow hugging (E) reduce wound stress and promote healing. Docusate (
A) prevents constipation but not dehiscence, and caloric restriction (
C) is inappropriate post-surgery.
Question 2 of 5
The nurse is talking with a client with major depressive disorder who has been taking paroxetine for the past 3 weeks. Which of the following statements by the client would require immediate follow-up?
Correct Answer: B
Rationale: Persistent depression with increased energy (
B) may indicate rising suicide risk, requiring immediate follow-up. Appetite (
A), sleep (
C), and libido (
D) changes are common side effects.
Question 3 of 5
The nurse is caring for an assigned team of clients. Which client is the priority for the nurse at this time?
Correct Answer: C
Rationale: An aura (
C) indicates an impending seizure, requiring immediate intervention to ensure safety. Guillain-Barré (
A), multiple sclerosis (
B), and fibromyalgia (
D) are less acute at this moment.
Question 4 of 5
A client with a pyloric obstruction is admitted to the hospital with vomiting. Which of the following blood gases would the nurse expect to see in the client with vomiting?
Correct Answer: B
Rationale: Vomiting causes loss of hydrochloric acid, leading to metabolic alkalosis, indicated by a high pH (7.50) and normal to low PCO2.
Question 5 of 5
The nurse is changing a wet to dry dressing. Which action is appropriate?
Correct Answer: D
Rationale: Packing the wound with sterile gloves maintains sterility, ensuring proper wet-to-dry dressing application for debridement.