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
Which nursing action is most appropriate when a chest tube is inadvertently pulled from its insertion site?
Correct Answer: A
Rationale: Covering the opening prevents air entry, reducing the risk of pneumothorax until medical intervention is available.
Question 3 of 5
The nurse is caring for a client with a new colostomy. Which statement by the client indicates a need for further teaching?
Correct Answer: B
Rationale: High-fiber foods can cause blockages in a new colostomy; low-residue foods are recommended initially.
Question 4 of 5
Which assessment finding provides the best evidence that a client remains adequately oxygenated while a tracheostomy is suctioned?
Correct Answer: C
Rationale: Remaining alert during suctioning indicates adequate oxygenation, as hypoxia would cause altered mental status.
Question 5 of 5
The client asks the nurse if there is anything he could do to impregnate his wife because his sperm count is "only 40 million." In responding to the client, which factor should the nurse consider?
Correct Answer: D
Rationale: A. Gonadotoxins are chemicals, drugs, or other substances that have a toxic or suppressive effect on sperm production, motility, or morphology. It is premature to examine the client's lifestyle because the client's sperm count is adequate. B. Although 40 million sperm/mL of semen is less than the normal of 60 to 100 million, the number is adequate for fertilization through intercourse. C. There is no need to utilize testosterone supplements for this client. D. The incidence of impregnation is lessened only when the sperm count decreases to less than 20 million/mL. The client should be reassured. The normal sperm count is 60 to 100 million sperm/mL of semen.