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 nurse is teaching the client and the family members about protection measures when the client, diagnosed with AIDS, returns home. Which instruction indicates that the nurse is unclear about the disease transmission?
Correct Answer: C
Rationale: A. This is the correct formula for mixing a bleach solution for disinfection. B. Placing contaminated items in a plastic bag and then in the garbage is the correct method for disposing of contaminated articles. Sharps should first be placed in a rigid labeled container (such as a tin can), bleach solution added, the lid taped, and then placed in a bag for disposal in the garbage. C. Because sharing eating utensils does not transmit HIV, it is unnecessary to separately wash dishes and silverware used by the client. The client is prone to opportunistic and other infections. D. Cleaning with soap and water and then disinfecting with bleach solution is the correct method for cleaning body fluid spills.
Question 4 of 5
The nurse is caring for the client who is angry about a new diagnosis of gonorrhea. The client informs the nurse, "I absolutely will not allow the release of this information to anyone." Which response by the nurse is most appropriate?
Correct Answer: A
Rationale: A. Being diagnosed with an STI can cause emotional distress. This response acknowledges the client's reaction and provides the opportunity to clarify the statement's meaning. B. Although gonorrhea is reportable, this response is a closed statement and does not allow the opportunity for the client to express feelings. C. The nurse is making an assumption about the client's spouse. D. Although this response does acknowledge the client's reaction, the last portion becomes judgmental and places the emphasis on the nurse's feelings.
Question 5 of 5
A client with a history of rheumatoid arthritis is prescribed methotrexate. Which laboratory value should the nurse monitor?
Correct Answer: A
Rationale: Methotrexate can cause hepatotoxicity; monitoring liver enzymes is essential.