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PN NCLEX Practice Exam Questions

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Question 1 of 5

The nurse is assessing a client in the emergency room. Which statement suggests that the problem is acute angina?

Correct Answer: A

Rationale: My pain is deep in my chest behind my breast bone. This describes the typical substernal pain of acute angina.

Question 2 of 5

A client is admitted with a diagnosis of myocardial infarction (MI). The client is complaining of chest pain. The nurse knows that pain related to an MI is due to

Correct Answer: A

Rationale: Insufficient oxygenation of the cardiac muscle. Due to ischemia of the heart muscle, the client experiences pain. This happens because an MI can block or interfere with the normal cardiac circulation.

Question 3 of 5

The nurse is reinforcing teaching about infant safety to a class of expectant parents. Which statement by a participant indicates a need for further instruction?

Correct Answer: D

Rationale: Placing a teddy bear in the crib (
D) increases suffocation risk, requiring further teaching. Pacifiers (
A), sleep sacks (
B), and firm mattresses (
C) are safe.

Question 4 of 5

While assisting a client with AM care, the nurse notes small elevated skin lesions less than $0.5 \mathrm{cm}$ in diameter over the client's back. The nurse should describe the lesions as:

Correct Answer: D

Rationale: Papules are small, elevated skin lesions less than 0.5 cm in diameter, matching the description provided.

Question 5 of 5

The nurse is caring for a client who was recently prescribed methadone for chronic, severe back pain. The client indicates taking extra tablets in the last 6 hours when the pain recurred. Which findings during discharge require the client to be monitored longer in the hospital setting? Select all that apply.

Correct Answer: A,C,D

Rationale: Falling asleep (
A), vomiting (
C), and premature ventricular contractions (
D) indicate possible methadone overdose or toxicity, requiring extended monitoring. Pruritus (
B) is a common side effect, and 92% oxygen saturation (E) is not critical.

Similar Questions

A nurse is caring for a client who is meeting with the palliative care team. After the meeting, the client's family asks for clarification about palliative care. Which statements about palliative care are accurate? Select all that apply.
The family of an 88-year-old woman who was admitted with severe dehydration says to the nurse, 'Why don't you just tie down her arms so she won't try to get out her IV?' What is the best response for the nurse to make?
The medical-surgical nurse cares for a group of clients. Which client situations would prompt the nurse to notify the health care provider during the middle of the night? Select all that apply.
The nurse is preparing an injection of IM haloperidol from a glass ampule. Which of the following actions by the nurse are appropriate? Select all that apply.
The nurse is caring for a client with increased intracranial pressure (ICP). Which statement by the unlicensed assistive personnel would require immediate intervention by the nurse?

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