NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
The nurse is assisting with procedural moderate sedation (conscious sedation) at a client's bedside. The unlicensed assistive personnel (UAP) comes to the door and indicates that the client in the next room needs the nurse right now. How should the nurse respond?
Correct Answer: D
Rationale: During moderate sedation, the nurse must remain with the client to monitor vital signs and response. Directing the UAP to inform the charge nurse ensures the other client's needs are addressed without compromising the sedated client's safety. UAP cannot monitor sedation or take over.
Question 2 of 5
The nurse is to administer a tube feeding to an adult. What action is essential before administering the feeding?
Correct Answer: B
Rationale: Checking tube placement (e.g., pH testing, aspiration) prevents aspiration by ensuring the tube is in the stomach. Other actions are irrelevant or unsafe.
Question 3 of 5
The greatest time savers when planning client care include all of the following except:
Correct Answer: A
Rationale: Reacting to crises is reactive and disrupts efficient care planning. Setting goals, planning, and prioritizing save time by organizing care proactively. Coordinated Care
Question 4 of 5
A client is admitted to the ER with reported heroin intoxication. Which of the following signs is consistent with opiate use?
Correct Answer: D
Rationale: Opiates like heroin cause pupil constriction (miosis). Dilated pupils, rapid speech, or elevated BP are not typical.
Question 5 of 5
A client has been admitted with a catheter-associated, vancomycin-resistant enterococcal bacteremia. Which interventions should the nurse implement? Select all that apply.
Correct Answer: A,B,E
Rationale: Dedicated equipment, hand hygiene, and an isolation gown prevent the spread of vancomycin-resistant enterococcus. A 'No Visitors' sign is unnecessary, and a face mask is not required unless droplet precautions are indicated.