NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
An 8-year-old admitted with an upper respiratory infection has an order for O2 saturation via pulse oximeter. To ensure an accurate reading, the nurse should:
Correct Answer: D
Rationale: Placing the probe on the finger or earlobe ensures accurate measurement of oxygen saturation, as these areas have good peripheral blood flow. The abdomen is not suitable, recalibration is not routinely required, and waiting 15 minutes is unnecessary.
Question 2 of 5
When death is imminent, the nurse observes the client for:
Correct Answer: B
Rationale: Cheyne-Stokes respiration, with alternating deep and shallow breathing and apnea, is a common sign of impending death, often linked to cardiac failure. The other signs are less specific. Psychosocial Integrity
Extract:
Leno, 35-year-old of African descent, came to USA to visit his family. He was admitted in the hospital due to exacerbation of sickle cell.
Question 3 of 5
During the vaso-occlusive crisis, which of the following nursing interventions is a priority?
Correct Answer: A
Rationale: IV fluids, analgesia, and oxygen address hydration, pain, and oxygenation, which are critical during a vaso-occlusive crisis.
Extract:
Question 4 of 5
The physician has ordered an oil retention enema and a cleansing enema for a client. How should the nurse plan to carry out these orders?
Correct Answer: B
Rationale: Oil retention enemas soften hardened stool, and cleansing enemas remove it. Administering the oil retention enema first allows time for stool softening, followed by the cleansing enema to evacuate it. Mixing or reversing the order is ineffective, and spacing over days is unnecessary.
Extract:
A patient who has recently experienced a thrombotic CVA
Question 5 of 5
A patient who has recently experienced a thrombotic CVA will most likely receive which of the following treatments?
Correct Answer: C
Rationale: Heparin is used to prevent further clot formation in thrombotic CVA.