NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
The nurse is caring for a client who has bacterial meningitis. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: A, B, C
Rationale: Minimizing stimuli (
A), seizure precautions (
B), and elevating the head (
C) reduce complications in meningitis. Masks (
D) are unnecessary, and negative pressure rooms (E) are for airborne diseases.
Question 2 of 5
The nurse is performing tracheostomy care for a client who has a tracheostomy tube with a disposable inner cannula. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Suctioning before removing the inner cannula (
C) clears secretions and ensures airway patency. Alcohol-based solutions (
A) are irritating, humidification (
B) is needed, and removing the outer cannula (
D) is unsafe.
Question 3 of 5
The nurse is preparing to administer ear drops to a 5-year-old client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Pulling the pinna upward and back (
A) straightens the ear canal in children over 3. Sitting with chin down (
B), touching the canal (
C), or cold drops (
D) are incorrect.
Question 4 of 5
A client is being discharged after having a coronary artery bypass grafting x5. The client asks questions about the care of chest and leg incisions. Which instructions should the nurse reinforce? Select all that apply.
Correct Answer: A, B, D
Rationale: Reporting sensory changes (
A), signs of infection (
B), and washing gently (
D) promote healing. Soaking and peroxide (
C) can disrupt healing, and compression hose (E) are not routinely needed.
Question 5 of 5
A client who received complete thickness burns at 7:30 a.m. was rushed to the emergency room where IV therapy with Lactated Ringer's was begun. He is to receive $8,000 \mathrm{~mL}$ of solution in 24 hours. According to the Parkland formula, how much solution should he receive by 11:30 p.m.?
Correct Answer: C
Rationale: The Parkland formula states half the total fluid (4,000 mL) is given in the first 8 hours (by 3:30 p.m.), and the remaining 4,000 mL over the next 16 hours. By 11:30 p.m. (16 hours post-burn), the client should have received 6,000 mL.