NCLEX Questions, PN NCLEX Practice Test Questions, NCLEX-PN

Extract:

Question 1 of 5

The doctor has ordered an IV of magnesium sulfate for a G1 P0 with preeclampsia. Which of the following symptoms is an expected side effect of magnesium sulfate?

Correct Answer: C

Rationale: Hyporeflexia is an expected side effect of magnesium sulfate, used to monitor for toxicity in preeclampsia treatment.

Question 2 of 5

The nurse is reinforcing instructions to a postpartum client about cord care for the newborn. Which client statement indicates a need for further teaching?

A. I can expect the cord to turn black in a few days B. I should let the cord fall off by itself C. I’ll give my newborn sponge baths until the cord falls off D. I’ll secure the diaper over the cord to protect it

Correct Answer: D

Rationale: Securing the diaper over the cord traps moisture, increasing infection risk. The cord turning black, falling off naturally, and sponge baths are correct cord care practices.

Question 3 of 5

A nurse observes a family member administer a rectal suppository by having the client lie on the left side for the administration. The family member pushed the suppository until the finger went up to the second knuckle. After 10 minutes the client was told by the family member to turn to the right side and the client did this. What is the appropriate comment for the nurse to make?

A. Why don't we now have the client turn back to the left side. B. That was done correctly. Did you have any problems with the insertion? C. Let's check to see if the suppository is in far enough. D. Did you feel any stool in the intestinal tract?

Correct Answer: B

Rationale: Left side-lying position is the optimal position for the client receiving rectal medications. Due to the position of the descending colon, left side-lying allows the medication to be inserted and move along the natural curve of the intestine and facilitates retention of the medication.

Question 4 of 5

An adult is admitted for surgery today. Immediately after administering the preoperative medications of meperidine and atropine, the nurse notes that the operative permit has not been signed. Which action should the nurse take?

A. Have the client sign the operative permit immediately before the medications take effect B. Have the client's next of kin sign the permission form C. Ask the client if he/she is willing to undergo surgery, sign the form for the client, and indicate the nurse's name as witness to the client's verbal consent D. Report it to the physician so the surgery can be delayed until the client can legally sign a consent form

Correct Answer: D

Rationale: Preoperative medications like meperidine impair judgment, making consent invalid post-administration. Reporting to the physician to delay surgery ensures legal and ethical consent.

Question 5 of 5

The nurse is caring for a client who is attempting to leave the hospital against medical advice. The client is competent to make decisions. Which of the following actions would be essential for the nurse to take?

A. Provide the client with a copy of the client’s medical record B. Tell the client that discharge forms must be signed before leaving C. Inform the client that the client cannot return for medical care after leaving D. Ensure the health care provider explains the risks of leaving the hospital to the client

Correct Answer: D

Rationale: Ensuring the provider explains risks ensures informed decision-making, protecting the client and minimizing liability. Medical records are not immediately provided, forms are procedural, and barring future care is incorrect.

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Question 5 of 5

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