NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
The nurse is caring for a client immediately after a vaginal birth. The nurse notes that the client’s uterus is midline and boggy. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: A boggy uterus indicates uterine atony, a major cause of postpartum hemorrhage. Fundal massage is the first action to stimulate contractions and expel clots. Adjusting oxytocin, checking vitals, or looking for blood are secondary after initiating massage.
Question 2 of 5
The nurse is caring for a client immediately after a vaginal birth. The nurse notes that the client’s uterus is midline and boggy. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: A boggy uterus indicates uterine atony, a major cause of postpartum hemorrhage. Fundal massage is the first action to stimulate contractions and expel clots. Adjusting oxytocin, checking vitals, or looking for blood are secondary after initiating massage.
Question 3 of 5
The home health nurse reviews the serum laboratory test results for a client with seizures. The phenytoin level is 27 mcg/mL. The client makes which statement that may indicate the presence of dose-related drug toxicity and prompt the nurse to notify the supervisory registered nurse?
Correct Answer: A
Rationale: A phenytoin level of 27 mcg/mL is above the therapeutic range (10-20 mcg/mL), indicating potential toxicity. Unsteadiness when walking suggests neurological toxicity, such as ataxia, which requires immediate reporting. Nocturia, metallic taste, and gingival hyperplasia are less urgent or unrelated.
Question 4 of 5
The nurse is caring for a client with bacterial meningitis who has been placed on droplet precautions. Which personal protection is mandatory for the nurse when administering medications?
Correct Answer: D
Rationale: Droplet precautions for bacterial meningitis require a surgical mask to prevent transmission via respiratory droplets. A face shield, gown, or N95 respirator is not mandatory unless additional precautions are indicated.
Question 5 of 5
Health promotion activities are designed to help clients:
Correct Answer: D
Rationale: Health promotion encompasses reducing illness risk, maintaining function, and fostering healthy habits, addressing all aspects of well-being. Health Promotion and Maintenance