NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
The nurse detects blood-tinged fluid leaking from the nose and ears of a head trauma client. What is the appropriate nursing action?
Correct Answer: C
Rationale: Applying a bulky, loose dressing to the nose and ears permits the fluid to drain and provides a visual reference for the amount of drainage.
Question 2 of 5
A chemical reaction between drugs prior to their administration or absorption is known as:
Correct Answer: A
Rationale: Drug incompatibility refers to chemical reactions between drugs before administration, like precipitation in IV lines. Side effects, adverse events, and allergic responses occur post-administration. Pharmacological Therapies
Question 3 of 5
The nurse is monitoring clients before and after scheduled procedures. Follow-up would be required if the nurse places a client in which position?
Correct Answer: D
Rationale: After a lumbar puncture, clients should remain supine for several hours to prevent cerebrospinal fluid leakage and headaches. The right side-lying position is correct post-liver biopsy to prevent bleeding, and Sims position is appropriate for an enema.
Question 4 of 5
A hospitalized child suddenly has a seizure while his family is visiting. The nurse notes whole body rigidity followed by general jerking movements. The child vomits immediately after the seizure. A priority nursing diagnosis for the child is
Correct Answer: D
Rationale: The tonic-clonic seizure appears suddenly and often leads to brief loss of consciousness. The greatest risk for the child is from airway blockage, as might follow aspiration.
Question 5 of 5
A client has been admitted with a catheter-associated, vancomycin-resistant enterococcal bacteremia. Which interventions should the nurse implement? Select all that apply.
Correct Answer: A,B,E
Rationale: Dedicated equipment, hand hygiene, and an isolation gown prevent the spread of vancomycin-resistant enterococcus. A 'No Visitors' sign is unnecessary, and a face mask is not required unless droplet precautions are indicated.