NCLEX-PN
Free PN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
The client is being treated with intravenous Vancomycin for MRSA when the nurse notes redness of the client's neck and chest. Place in ordered sequence the actions to be taken by the nurse:
Correct Answer: B,D,C,A
Rationale: Redness suggests an allergic reaction or 'red man syndrome' from rapid vancomycin infusion. The nurse should: stop the infusion to prevent further reaction, take vital signs to assess severity, administer Benadryl if ordered, and call the doctor for further orders.
Question 2 of 5
Which statement describes factors that help build personal power in an organization?
Correct Answer: B
Rationale: Networking, mentoring, and coalition building are positive uses of personal power to meet goals.
Question 3 of 5
A 5-month-old infant is admitted to the ER with a temperature of 103.6° and irritability. The mother states that the child has been listless for the past several hours and that he had a seizure on the way to the hospital. A lumbar puncture confirms a diagnosis of bacterial meningitis. The nurse should assess the infant for:
Correct Answer: B
Rationale: Tenseness of the anterior fontanel indicates increased intracranial pressure, a critical sign in bacterial meningitis.
Question 4 of 5
An appropriate intervention for the client with suspected genitourinary trauma and visible blood at the urethral meatus is:
Correct Answer: D
Rationale: Blood at the urethral meatus suggests trauma, contraindicating catheterization. A urologist consult is necessary for specialized evaluation and management. Physiological Adaptation
Question 5 of 5
A nurse is caring for a pregnant patient in her third trimester. Which of the following findings should be reported immediately?
Correct Answer: C
Rationale: Severe headache and visual disturbances suggest preeclampsia, a medical emergency. Mild edema, heartburn, and frequent urination are normal in late pregnancy.