NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
In an adult client, the nurse plans to administer 2 mL of medication I.M. Which technique is most accurate?
Correct Answer: C
Rationale: The deltoid muscle is appropriate for 2 mL IM injections in adults, using a 1-1.5" needle at a 90-degree angle for proper muscle penetration.
Question 2 of 5
A client with a history of hypothyroidism is prescribed levothyroxine. Which instruction should the nurse include?
Correct Answer: A
Rationale: Taking levothyroxine on an empty stomach enhances absorption.
Question 3 of 5
The nurse observes a nursing assistant assigned to a client who just returned from having a bronchoscopy. Which action by the nursing assistant would prompt the nurse to intervene?
Correct Answer: B
Rationale: After a bronchoscopy, the client is at risk for airway compromise due to anesthesia or swelling. Offering water before the gag reflex returns can lead to aspiration, requiring intervention.
Question 4 of 5
A homeless person has an enlarged, tender liver, and a hepatitis B infection is suspected. Which information in the client's history is most likely the etiologic factor for the disease?
Correct Answer: D
Rationale: Hepatitis B is primarily transmitted through blood, such as via shared needles, making this the most likely etiologic factor.
Question 5 of 5
The 45-year-old diagnosed with HIV presents to the clinic requesting to receive herpes zoster vaccine live. Which statement by the nurse is accurate concerning administration of zoster vaccine live to this client?
Correct Answer: B
Rationale: A. Zoster vaccine live (Zostavax) is indicated for clients starting at age 55; the client is 45. B. Since the client is immunocompromised from HIV infection, the live vaccine would be contraindicated. C. Zostavax is not given to children. D. Zostavax is used in the prevention of shingles, not chicken pox. Shingles occurs in individuals who already have had chicken pox. The virus associated with chicken pox lies dormant inside the nerve cell and can be reactivated later in life.