NCLEX Questions, NCLEX Practice Test PN Questions, NCLEX-PN

Extract:

Question 1 of 5

A triage nurse has these 4 clients arrive in the emergency department within a 15 minute period. Which client should the triage nurse send back to be seen first?

Correct Answer: B

Rationale: A teenager who got a singed beard while camping. This client is in the greatest danger with a potential of respiratory distress, Any client with singed facial hair has been exposed to heat or fire in close range that could have caused damage to the interior of the lung. Note that the interior lining of the lung has no nerve fibers so the client will not be aware of swelling.

Question 2 of 5

The nurse is talking with the parent of a pediatric client who had a cast applied to the right arm 30 minutes ago. Which of the following statements by the parent would require follow-up?

A. I understand that my child may feel tingling or burning underneath the cast for the first few days. B. I can use a hair dryer to blow cool air underneath the cast if my child experiences itching. C. I will call the clinic if my child experiences pain that is not relieved with medication. D. I should keep my child's arm elevated while resting for the first few days.

Correct Answer: A

Rationale: Tingling or burning may indicate neurovascular compromise or pressure on nerves, requiring immediate evaluation, not dismissal as normal.

Question 3 of 5

A 14-year old with leukemia tells the nurse, 'All I really want to eat is frozen yogurt.' The nurse should:

A. Explain the importance of eating a balanced diet B. Ask the dietician to talk with the client to find out which foods he prefers C. Ask the kitchen to send the yogurt D. Document the client's refusal to eat the diet as ordered

Correct Answer: C

Rationale: Providing the requested yogurt respects the client's preferences and encourages intake, which is critical in leukemia patients who may have reduced appetite.

Question 4 of 5

A client is prescribed long-term pharmacologic therapy with hydroxychloroquine to treat systemic lupus erythematosus. The nurse should reinforce teaching about which intervention related to the drug's adverse effects?

A. Have an ophthalmologic examination every 6 months B. Take the medication on an empty stomach C. Take vitamin D and calcium supplements D. Wear a MedicAlert bracelet

Correct Answer: A

Rationale: Hydroxychloroquine can cause retinal toxicity. Regular ophthalmologic exams every 6 months are essential to monitor for early signs of retinal damage.

Question 5 of 5

During the admission bath, the nurse notes a region of impaired skin under a large sacral dressing. Which of the following actions by the nurse are appropriate? Select all that apply.

A. Discusses the client's need for a nutrient-rich, high-calorie diet with the dietician B. Documents the impaired skin as an unstageable pressure injury in the client's medical record C. Gently cleanses the impaired skin with normal saline and pats the area dry with gauze D. Places a hydrophilic dressing over the impaired skin after performing wound care E. Repositions the client frequently and avoids putting pressure on the impaired skin

Correct Answer: A,C,D,E

Rationale: A nutrient-rich diet (
A) supports wound healing. Cleansing with saline (
C) prevents infection. A hydrophilic dressing (
D) promotes a moist healing environment. Frequent repositioning (E) reduces pressure on the impaired skin.

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Question 5 of 5

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