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NCLEX PN Practice Test Questions

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Question 1 of 5

After a recent outbreak of varicella in an elementary school, the practical nurse is assisting with the development of an informative letter to parents. Which of the following instructions are appropriate to include? Select all that apply.

Correct Answer: A,B,C,D,E

Rationale: Calamine lotion (
A) relieves itching, short nails (
B) and mittens (E) prevent scratching, vaccinations (
C) protect against future infection, and isolation until crusted (
D) prevents transmission. All are appropriate.

Question 2 of 5

The client with malignant left pleural effusion undergoes a thoracentesis and 900 mL of excess pleural fluid is removed. Which of these manifestations, if noted on the post-procedure assessment, should the nurse report to the health care provider immediately?

Correct Answer: A

Rationale: Asymmetrical chest expansion and decreased breath sounds (
A) suggest pneumothorax, a serious post-thoracentesis complication. Hypotension (
B), pain (
C), and mild tachypnea (
D) are less urgent or expected.

Question 3 of 5

A client with active pulmonary tuberculosis is prescribed 4-drug therapy with ethambutol. The nurse reinforces previous teaching to notify the health care provider immediately if which adverse effect associated with ethambutol occurs?

Correct Answer: A

Rationale: Ethambutol can cause optic neuritis, leading to blurred vision (
A), a serious side effect requiring immediate reporting. Dark urine (
B), hearing loss (
C), and jaundice (
D) are associated with other TB drugs (e.g., rifampin, isoniazid).

Question 4 of 5

To maintain Bryant's traction, the nurse must make certain that the child's:

Correct Answer: B

Rationale: Bryant's traction requires hips slightly elevated and legs at a right angle to the bed to align the femur properly and reduce pressure on the pelvis.

Question 5 of 5

A client is admitted to the postpartum floor after a vaginal birth. Which finding indicates the need for immediate intervention?

Correct Answer: B

Rationale: Headache with blurred vision (
B) suggests preeclampsia, a life-threatening condition requiring immediate intervention. Lochia (
A), nipple pain (
C), and discharge (
D) are normal or less urgent postpartum findings.

Similar Questions

The nurse prepares a client for discharge following a vasectomy. The client asks, 'When can I have sexual intercourse with my wife without using a condom?' What is the best response by the nurse?
A client with gout who was started on allopurinol a week ago calls the health care provider’s office with several concerns. The nurse should recognize which report by the client as being significant and requiring immediate follow-up?
The nurse is caring for a client with immune thrombocytopenic purpura. Which client statements indicate a need for further teaching? Select all that apply.
The nurse is caring for a client with anorexia nervosa. Which of the following findings would be consistent with the condition? Select all that apply.
A client in labor with a history of a previous cesarean birth has chosen to attempt a vaginal birth. During labor, which finding would be most concerning to the nurse?

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