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PN NCLEX Practice Test Questions

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Question 1 of 5

The nurse is caring for a client who has subclavian central venous access. Which nursing intervention is most important to prevent the spread of infection to this client?

Correct Answer: A

Rationale: Frequent hand hygiene is the most effective intervention to prevent infection in central venous access, reducing pathogen transmission. No artificial nails and chlorhexidine wipes are supportive, but hand hygiene is primary. PPE is situational.

Question 2 of 5

A patient has been ordered to get Tegretol for the first time. Which of the following side effects is not associated with Tegretol?

Correct Answer: D

Rationale: A-C are associated side effects of Tegretol.

Question 3 of 5

The nurse is caring for an elderly woman who had surgery on her right foot yesterday. The woman had a broken left arm three months ago and has osteoarthritis. Which type of assistive device will probably be most appropriate for this client?

Correct Answer: C

Rationale: A walker provides maximum stability for an elderly woman with recent foot surgery, prior arm injury, and osteoarthritis, ensuring safe ambulation.

Question 4 of 5

The nurse is reinforcing teaching with a client in the postpartum period who is breastfeeding and has breast engorgement. Which of the following information should the nurse include?

Correct Answer: B

Rationale: Nursing for 10-15 minutes per breast relieves engorgement by emptying milk ducts. Ice packs are used after, not before, feeding; decreasing frequency worsens engorgement; and NSAIDs are safe for breastfeeding.

Question 5 of 5

The nurse approaches a 4-year-old boy to administer a medication. The child has no identification armband. Which action is most appropriate?

Correct Answer: D

Rationale: Verifying the child's identity with adults at the bedside ensures safety, as children may not reliably confirm their own identity, and room/bed numbers are not sufficient for identification.

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