NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
The nurse is assessing a client with suspected meningitis. Which finding is most concerning?
Correct Answer: A
Rationale: Nuchal rigidity (stiff neck) is a hallmark sign of meningitis, indicating potential meningeal irritation.
Question 2 of 5
The client asks the nurse if there is anything he could do to impregnate his wife because his sperm count is "only 40 million." In responding to the client, which factor should the nurse consider?
Correct Answer: D
Rationale: A. Gonadotoxins are chemicals, drugs, or other substances that have a toxic or suppressive effect on sperm production, motility, or morphology. It is premature to examine the client's lifestyle because the client's sperm count is adequate. B. Although 40 million sperm/mL of semen is less than the normal of 60 to 100 million, the number is adequate for fertilization through intercourse. C. There is no need to utilize testosterone supplements for this client. D. The incidence of impregnation is lessened only when the sperm count decreases to less than 20 million/mL. The client should be reassured. The normal sperm count is 60 to 100 million sperm/mL of semen.
Question 3 of 5
The nurse observes a nursing assistant assigned to a client who just returned from having a bronchoscopy. Which action by the nursing assistant would prompt the nurse to intervene?
Correct Answer: B
Rationale: After a bronchoscopy, the client is at risk for airway compromise due to anesthesia or swelling. Offering water before the gag reflex returns can lead to aspiration, requiring intervention.
Question 4 of 5
In an adult client, the nurse plans to administer 2 mL of medication I.M. Which technique is most accurate?
Correct Answer: C
Rationale: The deltoid muscle is appropriate for 2 mL IM injections in adults, using a 1-1.5" needle at a 90-degree angle for proper muscle penetration.
Question 5 of 5
A 78-year-old client arrives at the hospital and is suspected of having pneumonia. Which laboratory test should be performed to confirm the diagnosis?
Correct Answer: D
Rationale: A sputum culture identifies the causative organism in pneumonia, confirming the diagnosis.