NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Question 1 of 5
The intensive care nurse is caring for a client who has just been extubated. Which interventions are appropriate at this time?
Correct Answer: B,C,D,E
Rationale: Post-extubation, warmed, humidified oxygen (
B) prevents mucosal drying, ice chips (
C) moisten the mouth, oral sponges (
D) maintain hygiene, and incentive spirometry (E) promotes lung expansion. Oral narcotics (
A) are risky due to potential airway compromise.
Question 2 of 5
The nurse is talking with a client whose spouse recently died. The client states, 'I just cannot get over my spouse's death.' Which of the following responses would be appropriate for the nurse to make?
Correct Answer: B,D,E
Rationale: The nurse should provide empathetic, open-ended responses that encourage the client to express feelings and explore coping strategies. Suggesting a support group (
D) and asking about coping methods (E) are therapeutic. Acknowledging that grief takes time (
B) is supportive. Sharing personal experiences (
A) is unprofessional, and leaving the client alone (
C) may dismiss their emotional needs.
Question 3 of 5
A client is admitted for hemodialysis. Which abnormal lab value would the nurse anticipate not being improved by hemodialysis?
Correct Answer: A
Rationale: Low hemoglobin. Hemodialysis corrects electrolyte imbalances but does not improve anemia.
Question 4 of 5
Prior to administering a feeding, the nurse checks for placement of a feeding tube. What is the best way to do this?
Correct Answer: B
Rationale: Measuring the pH of aspirated fluid (pH <5.5) confirms gastric placement, the most reliable method to prevent aspiration.
Question 5 of 5
Immediately following a cardiac catheterization, the client asks to go to the toilet. What is the best response by the nurse?
Correct Answer: D
Rationale: Post-catheterization, bed rest is required to prevent bleeding at the insertion site; a bedpan maintains immobility.