NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
An adult client in an acute care facility says to the nurse, 'I hope this hospital doesn't have student doctors and nurses. I do not want a student taking care of me.' The nurse's response should be based on which of the following understandings?
Correct Answer: B
Rationale: Clients have the right to know about student involvement and refuse student care, respecting autonomy. Consent doesn't inherently include students, and special forms or mandatory acceptance are incorrect.
Question 2 of 5
The nurse is assisting the physician with an examination of a client with Addison's disease. During the examination, the nurse will note which change in the client's integumentary system?
Correct Answer: C
Rationale: Addison's disease causes bronze pigmentation due to increased ACTH. Edema , hirsutism , and pendulous abdomen are not typical.
Question 3 of 5
A client who received complete thickness burns at 7:30 a.m. was rushed to the emergency room where IV therapy with Lactated Ringer's was begun. He is to receive $8,000 \mathrm{~mL}$ of solution in 24 hours. According to the Parkland formula, how much solution should he receive by 11:30 p.m.?
Correct Answer: C
Rationale: The Parkland formula states half the total fluid (4,000 mL) is given in the first 8 hours (by 3:30 p.m.), and the remaining 4,000 mL over the next 16 hours. By 11:30 p.m. (16 hours post-burn), the client should have received 6,000 mL.
Question 4 of 5
The nurse is reinforcing teaching about home administration of sublingual nitroglycerin tablets to a client with stable angina. Which client statement indicates the need for further teaching?
Correct Answer: D
Rationale: Keeping nitroglycerin in a car (
D) risks exposure to heat, reducing efficacy, requiring further teaching. Other statements (A, B,
C) are correct.
Question 5 of 5
A postoperative client with obesity and diabetes mellitus has an abdominal wound and is at risk for poor wound healing. Which of the following interventions does the nurse anticipate to prevent wound dehiscence? Select all that apply.
Correct Answer: B, D, E
Rationale: Abdominal binder (
B), glucose control (
D), and pillow hugging (E) reduce wound stress and promote healing. Docusate (
A) prevents constipation but not dehiscence, and caloric restriction (
C) is inappropriate post-surgery.