NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
The client, admitted to a surgical unit following a TURF, has a C81 running. The nurse assesses the client's urine and finds dark red urine containing several small clots. Which intervention should the nurse implement?
Correct Answer: A
Rationale: A. If the urine is dark red, the flow rate of the CBI should be increased. The purpose of the CBI is to remove clots from the bladder and to ensure drainage of urine through the urinary catheter. The flow rate of the CBI fluid should be set so that the outflow remains free from clots and remains light red to pink. B. Stopping the CBI would increase the risk that the urinary catheter would become blocked and the flow of urine interrupted. C. There is no need to manually irrigate a catheter If a C81 is flowing, unless the urinary catheter becomes obstructed. D. Deflating the urinary catheter balloon would be contraindicated because this could result in dislodging the catheter.
Question 2 of 5
The nurse is providing information to the client diagnosed with genital herpes- Which is the priority information that the nurse should provide to the client?
Correct Answer: D
Rationale: A. Information about females being infected more than males is important, and the client should be informed of this, but this is not the priority. B. Information about the mode of transmission is important, and the client should be informed of this, but this is not the priority. C. Typically in the first year after the diagnosis, the client will have four to five outbreaks, not two to three. D. The priority information to tell the client is that transmission can occur from a partner who does not have a visible sore.
Question 3 of 5
An 8-year-old is sent to the school nurse when the teacher notices recurrent staring episodes with frequent blinking. Shortly after an episode, the student is alert and oriented and responds appropriately. Which action by the school nurse is most appropriate?
Correct Answer: C
Rationale: Recurrent staring and blinking suggest possible absence seizures, requiring a medical evaluation, so contacting the parents is appropriate.
Question 4 of 5
A client with a burn injury is at risk for infection. Which nursing action is most effective in preventing infection?
Correct Answer: A
Rationale:
Topical antibiotics directly prevent bacterial growth in burn wounds, reducing infection risk.
Question 5 of 5
A client with type 2 diabetes mellitus reports feeling shaky and sweaty. The nurse checks the blood glucose level, which is 55 mg/dL. What is the nurse's priority action?
Correct Answer: B
Rationale: A blood glucose of 55 mg/dL indicates hypoglycemia; 15 g of a fast-acting carbohydrate (e.g., juice) is the priority to raise glucose levels.