NCLEX-PN
NCLEX PN Practice Questions Questions
Extract:
Question 1 of 5
The charge nurse is planning assignments for the day. Which clients will require the nursing staff to institute contact precautions? Select all that apply.
Correct Answer: A,B,D
Rationale: MRSA, C. difficile, and VRE require contact precautions due to direct contact transmission. Pertussis and influenza require droplet precautions.
Question 2 of 5
The nurse is caring for a client on mechanical ventilation. When performing endotracheal suctioning, the nurse will avoid hypoxia by
Correct Answer: C
Rationale: Administer supplemental 100% oxygen through the mechanical ventilator or manual resuscitation bag for 1 to 2 minutes before, after and between suctioning passes to prevent hypoxemia.
Question 3 of 5
The nurse is talking with a client whose spouse recently attempted suicide. The client states, 'If I had not intervened, my spouse would have died. I cannot believe this is happening.' Which of the following responses would be most appropriate for the nurse to make?
Correct Answer: B
Rationale: Acknowledging the client's feelings and encouraging expression provides emotional support.
Question 4 of 5
In the past 12-month period, a man has been arrested twice for driving while intoxicated. He is able to perform his activities of daily living without the use of alcohol and restricts his drinking to weekends. This client meets the criteria for which of the following?
Correct Answer: C
Rationale: Repeated legal issues from weekend drinking indicate substance abuse, as it causes significant impairment without daily dependence.
Question 5 of 5
A child who ingested 15 maximum strength acetaminophen tablets 45 minutes ago is seen in the emergency department. Which of these orders should the registered nurse implement first?
Correct Answer: A
Rationale: Gastric lavage PRN. Removing as much of the drug as possible is the first step in treatment for this drug overdose. This is best done by gastric lavage. The next actions to complete would be to administer activated charcoal, then Mucomyst and lastly the IV fluids.