NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
After being off for the holiday, a nurse returns to work and attempts to log on to the computer to document care for a client. The nurse tries to log on, but both times the computer will not grant access. The nurse rechecks the password and finds it correct. Which action by the nurse is most appropriate in this circumstance?
Correct Answer: C
Rationale: Calling technical support ensures the issue is resolved appropriately without compromising security or documentation integrity.
Question 2 of 5
The nurse is caring for the client who is 24 hours post-TURP and is having painful bladder spasms. Which intervention should the nurse plan to implement?
Correct Answer: B
Rationale: A. Opioid medications will decrease the pain sensations but will not decrease the muscle spasms. B. The belladonna and opium suppository will inhibit smooth muscle contraction and decrease bladder spasms; thus, it will also reduce pain. C. Ambulation will not decrease the discomfort. D. Heat, rather than cold, is the recommended nonphannacological treatment for bladder spasms.
Question 3 of 5
A 75-year-old client has a perineal prostatectomy for prostate cancer. Which nursing action is essential to include in the client's care plan?
Correct Answer: D
Rationale: Perineal care after bowel movements prevents infection at the surgical site, a critical post-prostatectomy action.
Question 4 of 5
Which assessment findings provide the nurse with the best indications that a client's tracheostomy needs suctioning? Select all that apply.
Correct Answer: C,E,F
Rationale: Noisy respirations, coughing up sputum, and a low pulse oximeter reading (87%) indicate airway obstruction or secretions that require suctioning. A slowed pulse rate, cool/moist skin, and elevated respiratory rate are not specific indicators for suctioning.
Question 5 of 5
The nurse is planning care for the female client, who is newly diagnosed with herpes simplex virus type 2 (HSV-2, herpes genitalis). In which order should the nurse complete the planned actions? Place the nurse's planned actions in order of priority.
Order the Items
Source Container
Correct Answer: B,D,E,A,C
Rationale: B. Determine if the woman is pregnant. This is priority because medications can be teratogenic, presenting a substantial risk to the developing fetus. D. Administer an analgesic. Measures are needed to promote comfort. Itching, pain, macules, and papules occur initially with HSV-2. The infection can progress to vesicles and ulcers and can involve the labia, cervix, and vaginal and perianal areas. E. Administer the first dose of acyclovir (Zovirax). An antiviral medication is needed to treat the infection. A. Teach abstinence from sexual intercourse during treatment and use of condoms. The woman is unlikely to be receptive to teaching until some degree of comfort is achieved. C. Discuss the benefits of joining a support group such as HELP (Herpetics Engaged in Living Productively). There is no cure for HSV-2 infection.