NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
During suctioning of the client's tracheostomy tube, the catheter appears to attach to the tracheal wall and creates a pulling sensation. What is the best action for the nurse to take?
Correct Answer: A
Rationale: Releasing suction by opening the vent prevents trauma to the tracheal mucosa when the catheter adheres to the wall. Continuing, increasing pressure, or deeper suction risks injury.
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 caring for a client on droplet precautions who has a prescription for a CT scan. When transporting the client to radiology, the nurse should ensure that the transporter uses protective equipment correctly to reduce the environmental spread of infection when the client is outside the room. Which instruction should the nurse give the transporter?
Correct Answer: A
Rationale: Droplet precautions are used to prevent transmission of respiratory infection. These precautions include the use of a mask and a private room. When the client is in the room, staff should wear masks and follow standard precautions. The client on droplet precautions should wear a mask at all times when outside the hospital room.
Question 4 of 5
The nurse is reinforcing discharge teaching for the parents of a 1-year-old with a newly diagnosed cow's milk allergy. Which nutrients normally provided by milk should be obtained from other sources? Select all that apply.
Correct Answer: A,D
Rationale: Cow's milk is a primary source of calcium and vitamin D, which must be supplemented in a milk allergy. Fiber, iron, and vitamin K are not primarily provided by milk and are obtained from other dietary sources.
Question 5 of 5
An adult who is being admitted to the medical floor with a bleeding ulcer exhibits all of the following. Which finding suggests that the client may be experiencing alcohol withdrawal symptoms?
Correct Answer: C
Rationale: Tremors are a classic sign of alcohol withdrawal, distinguishing it from bleeding ulcer symptoms like hypotension, dizziness, or pallor.