NCLEX Questions, PN NCLEX Practice Exam Questions, NCLEX-PN

Extract:

Question 1 of 5

The nurse assesses a client who has been re-admitted to the psychiatric inpatient unit for schizophrenia. His symptoms have been managed for several months with fluphenazine (Prolixin). Which should be a focus of the first assessment?

Correct Answer: B

Rationale: Medication compliance. Ensuring adherence to fluphenazine is critical for symptom management in schizophrenia.

Question 2 of 5

The family of an 88-year-old woman who was admitted with severe dehydration says to the nurse, 'Why don't you just tie down her arms so she won't try to get out her IV?' What is the best response for the nurse to make?

A. Ask the physician for an order to restrain the woman B. Explain to the family that restraints are not allowed in the hospital unless the doctor orders them C. Assess the client's mental status and safety needs D. Tell the family that they can restrain the client, but the nurse cannot

Correct Answer: C

Rationale: Assessing mental status and safety needs determines if restraints are necessary, prioritizing least restrictive measures.

Question 3 of 5

While assisting a doctor with a sterile dressing change, the nurse notices that the doctor has contaminated his left hand. Which action should the nurse take?

A. Hand the doctor another pair of gloves. B. Tell the doctor that he has contaminated his gloves. C. Say nothing because the client will be placed on prophylactic antibiotics. D. Report the incident to the infection control nurse.

Correct Answer: B

Rationale: Telling the doctor about the contamination maintains sterility and patient safety. Handing gloves assumes he noticed. Antibiotics are not a substitute for sterility. Reporting is secondary to immediate action.

Question 4 of 5

The day shift nurse provides handoff of care report to the oncoming night shift nurse. Which of the following statements by the nurse are appropriate to include in the report? Select all that apply.

A. I gave acetaminophen 500 mg PO to the client for a headache, with good relief. B. The client had morphine 15 mg PO 45 minutes ago for leg pain and now reports 3 on a pain scale of 0-10. C. The client's sisters visited today and were very rude, but they did bring the client's medication list. D. The continuous bladder irrigation normal saline infusion bag will need to be replaced at 9 PM. E. The radiology department called to say that an ultrasound will be performed at 9 PM.

Correct Answer: A,B,D,E

Rationale: Acetaminophen administration (
A), morphine effect (
B), irrigation replacement (
D), and ultrasound schedule (E) are relevant to care. Family behavior (
C) is subjective and inappropriate.

Question 5 of 5

The nurse is talking with the parent of an adolescent client who has infectious mononucleosis. Which of the following statements by the parent would require follow-up?

A. My child may take acetaminophen for fever or discomfort. B. My child will need to complete a full course of antibiotic therapy. C. My child should avoid participating in contact sports for at least 3 weeks. D. My child may continue to experience fatigue after the fever and sore throat subside.

Correct Answer: B

Rationale: Mononucleosis is viral, so antibiotics (
B) are not indicated, requiring follow-up. Acetaminophen (
A), avoiding sports (
C), and prolonged fatigue (
D) are correct.

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