NCLEX Questions, PN NCLEX Practice Exam Questions, NCLEX-PN Questions, Nurselytic

Questions 164

NCLEX-PN

NCLEX-PN Test Bank

PN NCLEX Practice Exam Questions

Extract:


Question 1 of 5

An adult is scheduled for a paracentesis. What should the nurse plan to do immediately before the procedure is started?

Correct Answer: B

Rationale: Emptying the bladder before paracentesis prevents accidental puncture of the bladder during needle insertion into the abdominal cavity. Water intake, bowel emptying, or sedation are not immediate pre-procedure priorities.

Question 2 of 5

A home health nurse is visiting a client with chronic heart failure. The nurse observes that the client is having trouble answering questions due to breathlessness and cough. Which action should the nurse take first?

Correct Answer: A

Rationale: Auscultating breath sounds (
A) assesses the cause of breathlessness (e.g., pulmonary edema) in heart failure, guiding immediate interventions. Edema (
B), vitals (
C), and weight (
D) are secondary.

Question 3 of 5

The nurse is caring for assigned clients. The nurse should first assess the client who had a

Correct Answer: A

Rationale: Drowsiness and nausea 4 hours post-cholecystectomy (
A) may indicate complications like bleeding or anesthesia effects, requiring priority assessment. Pain (
B), minor drainage (
C), and pink urine (
D) are less urgent.

Question 4 of 5

The nurse is caring for an infant who has a prescription for amoxicillin 25 mg/kg/day in 2 divided doses. The client weighs 16.5 lb (7.5 kg). The nurse has amoxicillin oral suspension 125 mg/5 mL available. How many mL should the nurse administer to the client with each dose? Record your answer using 2 decimal places.

Correct Answer: 3.75 mL/dose

Rationale: Calculation: 7.5 kg × 25 mg/kg/day = 187.5 mg/day. Divided into 2 doses = 93.75 mg/dose. 125 mg/5 mL = 25 mg/mL. 93.75 mg ÷ 25 mg/mL = 3.75 mL/dose (
A).

Question 5 of 5

A client hospitalized with severe depression and suicidal ideation refuses to talk with the nurse. The nurse recognizes that the suicidal client has difficulty:

Correct Answer: A

Rationale: Clients with severe depression and suicidal ideation often struggle to express feelings of low self-worth , which contributes to their emotional withdrawal. Discussing remorse or dependence may be present but is less central. Expressing anger is more typical in other conditions like bipolar disorder.

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