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PN NCLEX Practice Exam Questions

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Question 1 of 5

The nurse has attended a staff education program about administering intramuscular injections. Which of the following statements by the nurse would indicate a correct understanding of the program?

Correct Answer: D

Rationale: Displacing subcutaneous tissue (
D) via the Z-track method prevents leakage and irritation. IM injections use a 90-degree angle (A is incorrect), waiting 3 seconds (
B) is not standard, and massaging (
C) is avoided for some medications.

Question 2 of 5

Which of the following are violations of the Health Insurance Portability and Accountability Act regarding confidentiality of privileged health information? Select all that apply.

Correct Answer: A,C,D

Rationale: Sharing pregnancy results without consent (
A), calling names publicly (
C), and disclosing a diagnosis to non-care staff (
D) violate HIPAA. Overhearing through a curtain (
B) is unintentional, and a general farewell (E) is not a violation.

Question 3 of 5

Which procedures are appropriate for the nurse to use when obtaining an adult client's blood for a laboratory test? Select all that apply.

Correct Answer: A,B,C

Rationale: Avoiding the mastectomy side (
A), limiting attempts to two (
B), and drawing proximal to an IV (
C) are correct. A 15-degree angle (
D) is for IVs, not phlebotomy, and capillary samples avoid the finger pad center (E).

Question 4 of 5

The nurse is talking with a group of parents about puberty. The nurse should include that the first sign of puberty in clients of the male sex is

Correct Answer: C

Rationale: Testicular enlargement (
C) is the first sign of puberty in males, occurring before height increase (
A), muscle mass gain (
B), or penile growth (
D).

Question 5 of 5

The nurse is caring for a 10-year-old client with sickle cell disease who is experiencing an episode of acute pain. Which of the following diversional activities would be appropriate for the nurse to offer the client?

Correct Answer: B

Rationale: Reading a book (
B) is a calm, stationary activity suitable for pain management. Puzzles (
A) may require movement, walking (
C) could worsen pain, and puppets (
D) may be too childish for a 10-year-old.

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