NCLEX-PN
NCLEX PN Exam Practice Test Questions
Extract:
Question 1 of 5
The client has a cast applied following a fracture of the femur. The doctor tells the nurse to petal the cast. The nurse is aware that he intends for her to:
Correct Answer: C
Rationale: Petaling a cast involves covering the rough edges with adhesive tape or cast batting to prevent skin irritation. Cutting the cast or creating a window is a different procedure.
Question 2 of 5
A client in the medical-surgical unit has an indwelling urinary catheter. Which actions should the nurse implement to reduce the incidence of catheter-associated urinary tract infections? Select all that apply.
Correct Answer: B,C,E
Rationale: Using a separate container prevents cross-contamination. Keeping the bag below the bladder prevents urine backflow, reducing infection risk. E: Sterile technique minimizes pathogen introduction during specimen collection. A is incorrect as routine antiseptic cleansing can disrupt natural flora, increasing infection risk. D is incorrect as routine irrigation is not recommended unless medically indicated, as it can introduce pathogens.
Question 3 of 5
The clinic nurse is reviewing self-care management of acne vulgaris with an adolescent client. Which client statement indicates a need for further instruction?
Correct Answer: A
Rationale: Scrubbing with antibacterial soap can irritate skin and worsen acne. Noncomedogenic products, a nutritious diet, and avoiding picking are correct practices.
Question 4 of 5
The nurse is talking with a client's spouse who insists on being present in the room while the client is receiving CPR. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Allowing the spouse to stay with a staff member to explain reduces distress and supports family presence, which is often permitted during CPR.
Question 5 of 5
Immediately following an acute battering incident in a violent relationship, the batterer may respond to the partner's injuries by
Correct Answer: B
Rationale: Minimizing the episode and underestimating the victim's injuries. Batterers often use denial to downplay the severity of their actions.