NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
The nurse is caring for a client who has a Clostridioides difficile infection. Which of the following infection control precautions should the nurse implement? Select all that apply.
Correct Answer: B, D
Rationale: A private room (
B) and protective gown (
D) are required for contact precautions. Sterile gloves (
A) are unnecessary, alcohol-based sanitizer (
C) is ineffective against C. difficile spores, and surgical masks (E) are not required.
Question 2 of 5
A postoperative client with obesity and diabetes mellitus has an abdominal wound and is at risk for poor wound healing. Which of the following interventions does the nurse anticipate to prevent wound dehiscence? Select all that apply.
Correct Answer: B, D, E
Rationale: Abdominal binder (
B), glucose control (
D), and pillow hugging (E) reduce wound stress and promote healing. Docusate (
A) prevents constipation but not dehiscence, and caloric restriction (
C) is inappropriate post-surgery.
Question 3 of 5
Which therapeutic communication skill used by the nurse is most likely to encourage a depressed client to vent feelings?
Correct Answer: D
Rationale: Active listening. This skill, along with silence, encourages the client to verbalize feelings.
Question 4 of 5
A client with a pyloric obstruction is admitted to the hospital with vomiting. Which of the following blood gases would the nurse expect to see in the client with vomiting?
Correct Answer: B
Rationale: Vomiting causes loss of hydrochloric acid, leading to metabolic alkalosis, indicated by a high pH (7.50) and normal to low PCO2.
Question 5 of 5
A very tall, heavy-set man is admitted. The nurse is taking vital signs. Which statement is correct concerning taking the blood pressure?
Correct Answer: C
Rationale: An extra-large cuff ensures accurate blood pressure measurement in large individuals; a standard cuff falsely elevates readings. Adjusting readings or lying down is unnecessary.