NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
Before suctioning a client with a tracheostomy, which nursing action should the nurse perform first?
Correct Answer: C
Rationale: Administering 100% oxygen (hyperoxygenation) for 1-2 minutes before suctioning helps prevent hypoxia during the procedure, which can cause desaturation.
Question 2 of 5
The nurse is teaching a client about managing gastroesophageal reflux disease (GERD). Which instruction is most appropriate?
Correct Answer: C
Rationale: Avoiding food 2–3 hours before bedtime reduces reflux by allowing gastric emptying.
Question 3 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 4 of 5
Which assessment finding in a client with heart failure indicates fluid overload? Select all that apply.
Correct Answer: A,B,C,E
Rationale: Weight gain, crackles, jugular vein distention, and peripheral edema are signs of fluid overload in heart failure.
Question 5 of 5
Which assessment finding best indicates that Bryant's traction is applied properly to a small child?
Correct Answer: C
Rationale: Bryant's traction for pediatric femoral fractures requires the child's buttocks to be slightly elevated off the mattress to maintain proper alignment and traction force.