NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Question 1 of 5
The nurse caring for a client with an ileal conduit observes that the stoma appears bluish gray. What is the nurse's best action?
Correct Answer: D
Rationale: A bluish-gray stoma (
D) indicates ischemia, requiring immediate reporting. Antibiotics (
A) are premature, monitoring (
B) delays care, and resizing the pouch (
C) is irrelevant.
Question 2 of 5
Because the client has hypothyroidism, the nurse expects which of the following to be present in the client?
Correct Answer: C
Rationale: Hypothyroidism slows metabolism, causing hypothermia (e.g., 96.8°F). Weight gain, not loss, slow respirations, and heavy menses are typical.
Question 3 of 5
The physician has ordered dressings with sulfamylon cream for a client with full thickness burns of his hands and arms. Before dressing changes, the nurse should give priority to:
Correct Answer: A
Rationale: Sulfamylon dressing changes are painful, so administering pain medication is the priority. Urinary output , blood count , and glucose are important but secondary.
Question 4 of 5
Which of the following clients is at highest risk for developing Sarcordosis?
Correct Answer: B
Rationale: Sarcoidosis is most common in African-Americans, particularly women of childbearing age, making the pregnant 30-year-old African-American the highest risk.
Question 5 of 5
The nurse is caring for a client who has chickenpox with open lesions. Which of the following infection control precautions should the nurse implement?
Correct Answer: A,B,C,D
Rationale: Chickenpox requires airborne and contact precautions: negative pressure room (
A), protecting pregnant staff (
B), masking during transport (
C), and gown, gloves, N95 (
D). Visitor restriction (E) is too short; it lasts until lesions crust.