NCLEX-PN
NCLEX PN Practice Test Questions
Extract:
Question 1 of 5
Spinal headaches are a common occurrence following spinal anesthesia. Which of the following nursing interventions can help prevent a spinal headache?
Correct Answer: B
Rationale: Increasing fluid intake helps maintain cerebrospinal fluid pressure, reducing the risk of spinal headaches post-spinal anesthesia.
Question 2 of 5
The nurse is caring for a child receiving chest physiotherapy (CPT). Which of the following actions by the nurse would be appropriate?
Correct Answer: C
Rationale: Continue the percussion to the rib cage area. Percussion should target the rib cage to mobilize secretions effectively.
Question 3 of 5
The nurse is caring for a client with bipolar disorder who is hospitalized for an acute manic episode. Which of the following actions would the nurse expect to be included in the client's plan of care? Select all that apply.
Correct Answer: B,C,D,E,F
Rationale: During a manic episode, a private room (
B) minimizes stimuli, appropriate clothing (
C) supports dignity, group therapy (
D) fosters socialization, physical activity (E) channels energy, and dining with others (F) promotes normalcy. Planning an outing (
A) is inappropriate due to impulsivity risks.
Question 4 of 5
A male client is admitted for evaluation of a sudden hearing loss. No physical cause can be found for his sudden deafness; however, a friend reveals that the client's fiancée recently canceled their engagement, saying that she needed more time to think about the marriage. The client's deafness is an example of:
Correct Answer: A
Rationale: Sudden deafness after emotional stress, without physical cause, indicates a conversion reaction, where psychological distress manifests physically.
Question 5 of 5
The nurse is talking with a client with stable angina who has a prescription for sublingual nitroglycerin. Which of the following statements by the client would require follow-up?
Correct Answer: C
Rationale: Nitroglycerin is not contraindicated with grapefruit juice (
C), indicating a misunderstanding. Sitting down (
A) prevents falls from hypotension, and flushing/headache (
B) are expected side effects, both correct.