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NCLEX Practice Questions PN Questions

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Question 1 of 5

The nurse is caring for a client who had a chest tube inserted and attached to portable water seal drainage two days ago. There is no bubbling in the water seal chamber. What should the nurse assess initially?

Correct Answer: C

Rationale: No bubbling may indicate lung reexpansion or system issues; auscultating lungs assesses reexpansion or complications like pneumothorax. Other assessments are secondary.

Question 2 of 5

A client just diagnosed with methicillin-resistant Staphylococcus aureus septic arthritis is receiving the first dose of IV vancomycin. Which finding is most concerning to the nurse?

Correct Answer: D

Rationale: Wheezing and hives (
D) indicate a possible anaphylactic reaction, the most concerning finding. Muscle pain (
A), flushing/pruritus (
B), and low blood pressure (
C) are less immediately life-threatening.

Question 3 of 5

A client reports that someone is in the room and trying to kill him. The nurse's best response is:

Correct Answer: B

Rationale: It is important to acknowledge the client's fear. The other responses deny the client's perceptions.

Question 4 of 5

The nurse is caring for a hospitalized client diagnosed with thyrotoxicosis (thyroid storm). Which action is most appropriate to assign to unlicensed assistive personnel?

Correct Answer: B

Rationale: Lowering room temperature (
B) is within UAP scope and helps manage hyperthermia. Calling family (
A), teaching (
C), and applying a warming blanket (
D) are inappropriate or require nursing judgment.

Question 5 of 5

During the immediate postoperative period after a colostomy, which stoma appearance requires the licensed practical nurse to contact the supervising registered nurse immediately?

Correct Answer: B

Rationale: A dusky stoma (
B) indicates ischemia, requiring immediate reporting. Brick red (
A), pink with oozing (
C), and no stool (
D) are normal post-colostomy findings.

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