NCLEX-PN
NCLEX PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client who is in restraints due to violent behavior. The client states, 'I am a magician; I can get out of anything. There could be trouble now!' Which of the following actions would be most appropriate for the nurse to take?
Correct Answer: A
Rationale: The client's statement suggests a potential intent to escape restraints, posing a safety risk, so notifying staff for assistance is the priority.
Question 2 of 5
A nurse has been assigned to provide care to a client with suicidal ideation who is receiving treatment in an outpatient setting. The nurse develops a care plan and reviews it with the nurse preceptor before meeting with the client. Which proposed nursing action in the care plan requires intervention by the nurse preceptor?
Correct Answer: D
Rationale: No-suicide contracts are not evidence-based and may create pressure rather than support coping strategies.
Question 3 of 5
A nurse is caring for a client following the delivery of a stillborn infant. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: A,D,E
Rationale: Bathing, holding, and obtaining mementos support grieving. Naming is a personal choice, and organ donation discussions may be inappropriate at this time.
Question 4 of 5
The nurse at an orthopedic joint clinic is assisting with the preparation of pre-operative teaching for clients scheduled for total hip replacement surgery. Which would be included in the teaching plan?
Correct Answer: C
Rationale: The client with joint hip replacement should avoid adduction of the legs and flexion of the hips greater than 90 degrees to ensure continued placement of the prosthetic joint. It is recommended for these clients to use recliners for seating instead of straight chairs, therefore A is incorrect. Commode seats will have to be raised and abduction of the legs is required, making B and D incorrect choices.
Question 5 of 5
The doctor has ordered 1 mg of Stadol (butorphanol) to be given IM. The medication is available in 4 mg per mL. The nurse should administer:
Correct Answer: B
Rationale: Calculate: 1 mg ÷ 4 mg/mL = 0.25 mL. This ensures the correct dose of Stadol is administered.