NCLEX-PN
NCLEX PN Prep Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a bedridden client experiencing fecal incontinence. Which nursing intervention is the highest priority for this client?
Correct Answer: C
Rationale: Perianal skin care with barrier cream prevents skin breakdown, a common complication of fecal incontinence. Wound care consultation follows if breakdown occurs. Rectal tubes risk complications, and briefs may trap moisture, worsening irritation.
Question 2 of 5
The nurse is talking with a client with alcohol use disorder who has a new prescription for disulfiram. Which of the following information should the nurse include?
Correct Answer: C
Rationale: Disulfiram causes severe adverse reactions when alcohol is consumed, even in small amounts found in products like mouthwash. Clients must avoid all alcohol-containing products to prevent a disulfiram-alcohol reaction, which can include nausea, vomiting, and flushing.
Question 3 of 5
The nurse in a residence facility for older adults is planning for the year. During which month should the influenza vaccine be offered to the residents?
Correct Answer: C
Rationale: September allows influenza vaccination before the flu season peaks, ensuring immunity. Later or earlier months are less optimal.
Question 4 of 5
During the discharge teaching of a client with Buerger's disease, the nurse should teach the client:
Correct Answer: A
Rationale: Exercises to improve vascular return, such as ankle pumps, help manage Buerger's disease by promoting circulation in the extremities.
Question 5 of 5
The licensed practical nurse (LPN) assigns the ambulation of a client to unlicensed assistive personnel (UAP). The LPN observes UAP placing the clients Foley bag on the IV pole at the level of the client's chest during client ambulation down the length of the hallway. What action should the LPN take initially?
Correct Answer: A
Rationale: The Foley bag must be kept below bladder level to prevent urine backflow and infection risk. Immediate correction and private education ensure safety and learning without delay.