NCLEX-PN
PN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
An adult postoperative client vomits, and his abdominal wound eviscerates. What is the best initial action for the nurse to take?
Correct Answer: A
Rationale: Covering exposed intestines with sterile moist dressings prevents infection and drying of tissue, stabilizing the client until surgical intervention. Packing intestines risks contamination, irrigation is inappropriate, and vital signs are secondary to immediate protection.
Question 2 of 5
The nurse is observing a nursing assistant providing care. Which action indicates that the nursing assistant understands universal precautions?
Correct Answer: C
Rationale: Wearing a gown for soiled linen contact adheres to universal precautions, preventing contamination. Limited hand washing, excessive gloves, or no hand washing post-gloves are incorrect.
Question 3 of 5
The nurse is inserting an indwelling urinary catheter for a female client. After inserting and advancing the catheter, the nurse notes no return of urine. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: No urine return may indicate incorrect placement. Reinserting at a slightly different angle corrects this. Notifying the provider is premature, a new kit is unnecessary, and waiting 30 minutes delays care.
Question 4 of 5
As adult is admitted with bleeding esophageal varices, and a triple-lumen nasogastric tube is inserted and the balloons inflated. What should the nurse keep at the bedside because the client has this tube?
Correct Answer: C
Rationale: Scissors are kept at the bedside to cut and release the tube if the balloons cause airway obstruction or excessive pressure, a critical safety measure for triple-lumen tubes like the Sengstaken-Blakemore.
Question 5 of 5
An adult who has a tracheostomy needs to be suctioned. How should the nurse position the client for this procedure?
Correct Answer: B
Rationale: Semi-sitting facilitates airway access and reduces aspiration risk during tracheostomy suctioning. Supine or lateral positions are less effective.