NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
An adult who is hospitalized with congestive heart failure is receiving an intravenous infusion. The nurse is checking the IV. Which of the following is of greatest concern to the nurse?
Correct Answer: A
Rationale: The insertion site is critical to assess for infection, infiltration, or phlebitis, the greatest concern to prevent IV complications in heart failure.
Question 2 of 5
After returning from the postanesthesia care unit, a man who had abdominal surgery is ordered to be in semi-sitting position. What is the primary reason for this position for this client?
Correct Answer: D
Rationale: Semi-sitting position promotes lung expansion, preventing respiratory distress post-abdominal surgery. It has secondary benefits for circulation and incision tension.
Question 3 of 5
The nurse is speaking at a community meeting about personal responsibility for health promotion. A participant asks about chiropractic treatment for illnesses. What should be the focus of the nurse's response?
Correct Answer: B
Rationale: Spinal column manipulation. The theory underlying chiropractic is that interference with transmission of mental impulses between the brain and body organs produces diseases. Such interference is caused by misalignment of the vertebrae. Manipulation reduces the misalignment (subluxation).
Question 4 of 5
The nurse monitors a client who has followed a vegan diet for several years. Which client statement would indicate a possible complication resulting from a vegan diet?
Correct Answer: A
Rationale: Night vision disturbances suggest vitamin A deficiency, common in vegan diets lacking sufficient beta-carotene sources. Insomnia, scaly skin, and tingling are less specific to vegan diet complications, potentially relating to other causes like stress or neuropathy.
Question 5 of 5
A client is waiting to have an intravenous pyelogram (IVP). The most important information to be obtained by the nurse prior to the procedure is
Correct Answer: B
Rationale: Intravenous Pyelogram is a dye study that uses an iodine-based contrast.
Therefore, the study is contraindicated in clients with allergy to iodine.