NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
An 8-year-old is sent to the school nurse when the teacher notices recurrent staring episodes with frequent blinking. Shortly after an episode, the student is alert and oriented and responds appropriately. Which action by the school nurse is most appropriate?
Correct Answer: C
Rationale: Recurrent staring and blinking suggest possible absence seizures, requiring a medical evaluation, so contacting the parents is appropriate.
Question 2 of 5
When changing a sterile abdominal dressing, which nursing actions would violate the principles of asepsis? Select all that apply.
Correct Answer: D,E,F
Rationale: Cleaning from the outer edge toward the center introduces contaminants to the wound, violating asepsis. Reaching across the sterile field and touching the soiled dressing with sterile gloves contaminate the sterile field and gloves, respectively.
Question 3 of 5
The physician orders enoxaparin (Lovenox) for a client who has been diagnosed with a blood clot. To prevent bruising, which actions by the nurse are most appropriate? Select all that apply.
Correct Answer: A,F
Rationale: Avoiding rubbing and applying gentle pressure minimize bruising at the injection site for enoxaparin.
Question 4 of 5
The client with waits in the labial area is being seen in the clinic. The client is tearful and states to the nurse, "I'm so embarrassed that I let this happen to me." Which response by the nurse is appropriate?
Correct Answer: C
Rationale: A. This response dismisses the client's feelings of embarrassment over an STI. B. This response dismisses the client's feelings and promotes client dependency. It does not allow for further exploration of feelings. C. This response is appropriate because it acknowledges the client's feelings. It provides brief information and then time for the client to express thoughts regarding the situation. D. This response dismisses the client's feelings.
Question 5 of 5
The nurse is assessing a client with a history of seizures. Which observation indicates the client is experiencing an aura?
Correct Answer: A
Rationale: An aura is a sensory warning, such as a strange smell, that precedes a seizure.