NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
The nurse is caring for a client who has congestive heart failure. Which finding indicates that her condition is getting worse?
Correct Answer: B
Rationale: A decrease in blood pressure suggests worsening cardiac output in congestive heart failure, indicating decompensation.
Question 2 of 5
The nurse is caring for an assigned team of clients. Which client is the priority for the nurse at this time?
Correct Answer: C
Rationale: An aura (
C) indicates an impending seizure, requiring immediate intervention to ensure safety. Guillain-Barré (
A), multiple sclerosis (
B), and fibromyalgia (
D) are less acute at this moment.
Question 3 of 5
The nurse is contributing to the plan of care for a client with pertussis. Which of the following interventions should the nurse suggest including in the client's plan of care? Select all that apply.
Correct Answer: A, B, E
Rationale: Monitoring respiratory effort (
A), droplet precautions (
B), and frequent fluids (E) manage pertussis symptoms and transmission. Negative pressure rooms (
C) are for airborne diseases, and cough suppressants (
D) may worsen mucus clearance.
Question 4 of 5
After inserting an indwelling catheter into an adult male, the nurse secures the catheter by:
Correct Answer: A
Rationale: Taping the catheter laterally to the thigh prevents tension or dislodgement while allowing mobility. Upward or downward taping risks kinking, and looping increases infection risk.
Question 5 of 5
A female client seen in the health department's STD clinic is diagnosed with chlamydia. Before the client leaves the clinic, the nurse should:
Correct Answer: C
Rationale: Avoiding sexual relations prevents chlamydia spread until treatment is complete. Contact tracing is secondary, Flagyl is for trichomoniasis, and douching is harmful.