NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
The nurse inserts a small bore nasogastric (NG) tube and prepares to initiate enteral feedings for a hospitalized client with laryngeal cancer. Which action should the nurse take first?
Correct Answer: D
Rationale: Verifying NG tube placement with an x-ray (
D) is the first step to ensure safety before feedings or medications. Other actions follow confirmation.
Question 2 of 5
Which nursing diagnosis is most appropriate for a client who has Cushing's syndrome?
Correct Answer: A
Rationale: Cushing's syndrome causes cortisol excess, leading to osteoporosis and increased fracture risk, making 'Risk for injury related to osteoporosis' the most appropriate diagnosis.
Question 3 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 4 of 5
The nurse is preparing to administer a scheduled vaccine to a pediatric client with hemophilia. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: C,E
Rationale: Firm pressure for 5 minutes (
C) and using a small, short needle (E) minimize bleeding in hemophilia. Ibuprofen (
A) increases bleeding risk, warm compresses (
B) may worsen bleeding, and massage (
D) can cause hematoma.
Question 5 of 5
Which of the following nursing interventions is essential when caring for a client who is receiving Cyclophosphamide (Cytoxin)?
Correct Answer: B
Rationale: Cyclophosphamide can cause hemorrhagic cystitis; monitoring urine output is critical to detect blood in the urine and ensure adequate hydration.