NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
The nurse is caring for a client who is scheduled for surgery in 2 hours and is reporting anxiety and shortness of breath. The client has a heart rate of 110/min and respiratory rate of 24/min. Which of the following actions would be a priority for the nurse to take?
Correct Answer: B
Rationale: Placing the client in Fowler or high Fowler position improves lung expansion and oxygenation, addressing shortness of breath and tachycardia caused by anxiety or potential respiratory distress. Lorazepam requires a prescription, bronchodilators are not indicated without wheezing, and reassurance alone does not address physical symptoms.
Question 2 of 5
The nurse is reinforcing teaching to a client with a hiatal hernia. Which statement by the client indicates that further teaching is needed?
Correct Answer: D
Rationale: Weight lifting can increase intra-abdominal pressure, worsening hiatal hernia symptoms, indicating a need for further teaching. Raising the bed, staying upright post-meals, and considering surgery for persistent symptoms are correct management strategies.
Question 3 of 5
The nurse is reinforcing teaching with a client who is starting to use a cervical cap for contraception. Which client statement would require follow-up?
Correct Answer: C
Rationale: Leaving the cervical cap in for at least 24 hours increases infection risk; it should remain for 6-8 hours post-intercourse. Applying spermicide and inserting hours before intercourse are correct practices for effective use.
Question 4 of 5
The greatest time savers when planning client care include all of the following except:
Correct Answer: A
Rationale: Reacting to crises is reactive and disrupts efficient care planning. Setting goals, planning, and prioritizing save time by organizing care proactively. Coordinated Care
Question 5 of 5
A client is given an opiate drug for pain relief following general anesthesia. The client becomes extremely somnolent with respiratory depression. The physician is likely to order the administration of:
Correct Answer: A
Rationale: Naloxone reverses opioid-induced respiratory depression and somnolence by antagonizing opioid receptors. The other medications have different indications and do not address opioid overdose. Pharmacological Therapies