NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Question 1 of 5
The nurse has a client with knee surgery who is receiving patient-controlled analgesia (PCA) of meperidine (Demerol). Which assessment finding would be a priority due to the use of this device and medication?
Correct Answer: C
Rationale: The patient is in danger of respiratory depression due to narcotic administration; therefore, this would be a priority assessment. Answer A does not relate to the PCA, so it is incorrect. Answer B is not a priority, making it wrong. Pain relief in answer D is important, but not as important as airway, so it is incorrect.
Question 2 of 5
What is the most important aspect to include when developing a home care plan for a client with severe arthritis?
Correct Answer: A
Rationale: Maintaining and preserving function. Preserving joint function is critical for quality of life in arthritis.
Question 3 of 5
The nurse cares for a hospitalized client with malnutrition related to anorexia nervosa. Which of the following actions are appropriate in the care of this client?
Correct Answer: B,C,D,E
Rationale: Reflecting on triggers (
B), documenting intake (
C), staying during meals (
D), and daily weighing (E) support recovery. Exercise (
A) should be limited to prevent calorie expenditure.
Question 4 of 5
An elderly client is admitted with an acute exacerbation of chronic obstructive pulmonary disease. Pulse oximetry is 84% on room air. The client is restless, has expiratory wheezing and a productive cough, and is using the accessory muscles to breathe. Which prescription should the nurse question?
Correct Answer: C
Rationale: Morphine (
C) can depress respiration in COPD, worsening hypoxia, and should be questioned. Albuterol (
A) relieves bronchospasm, methylprednisolone (
B) reduces inflammation, and oxygen (
D) addresses hypoxia, all appropriate for COPD exacerbation.
Question 5 of 5
A 43-year-old woman with lupus erythematosus expresses frustration about the unpredictable course of her illness and the change in her physical appearance. Which nursing intervention would be most appropriate?
Correct Answer: A
Rationale: Exploring lupus' impact on her life validates her frustrations, addressing emotional and social effects therapeutically.