NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 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.
Question 2 of 5
The nurse is caring for a client who had a forceps-assisted vaginal birth and is reporting severe vaginal pain and fullness. The nurse notes the fundus is firm and midline with a scant amount of lochia rubra. The client is most likely experiencing
Correct Answer: B
Rationale: Severe vaginal pain and fullness with a firm fundus and scant lochia suggest a vaginal hematoma (
B). Uterine atony (
A) causes heavy bleeding, cervical lacerations (
C) cause bleeding, and uterine inversion (
D) involves a displaced fundus.
Question 3 of 5
The nurse is reviewing the medication administration record for a 70-year-old client. Which of the following prescribed medications places the client at increased risk for injury? Select all that apply.
Correct Answer: A,B,E
Rationale: Diphenhydramine (
A), amitriptyline (
B), and diazepam (E) cause sedation or confusion, increasing fall risk in the elderly. Simvastatin (
C) and famotidine (
D) do not significantly increase injury risk.
Question 4 of 5
The nurse is changing a dressing. Which event indicates a break in sterile technique?
Correct Answer: B
Rationale: Turning around risks contaminating the sterile field by passing non-sterile areas over it. Opening flaps away, using the table, or pouring saline maintain sterility.
Question 5 of 5
When using an interpreter to teach a client about a procedure to do in the home, the nurse should take which approach?
Correct Answer: D
Rationale: Face the client while presenting the information as the interpreter talks in the native language. This allows non-verbal communication and maintains a client-focused approach.