NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a tracheostomy who has an order to begin oral intake. Which of the following actions should the nurse take to decrease the client's risk for aspiration?
Correct Answer: D
Rationale: Thickened liquids (
D) reduce aspiration risk by slowing transit. Inflating the cuff (
A) is not always necessary, straws (
B) may increase risk, and tilting the head back (
C) worsens aspiration.
Question 2 of 5
A client with chronic heart failure is being discharged home on furosemide and supplementary potassium chloride tablets. Which instructions related to the potassium supplement should the nurse reinforce to the client?
Correct Answer: D
Rationale: Potassium chloride tablets should be taken with water and the client should remain upright to prevent esophageal irritation or ulceration (
D). Protein and vitamin D (
A) do not enhance absorption, crushing tablets (
B) can cause irritation, and taking on an empty stomach (
C) is unnecessary.
Question 3 of 5
The nurse is preparing to administer a scheduled vaccine to a pediatric client with hemophilia. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: C,E
Rationale: Firm pressure for 5 minutes (
C) and using a small, short needle (E) minimize bleeding in hemophilia. Ibuprofen (
A) increases bleeding risk, warm compresses (
B) may worsen bleeding, and massage (
D) can cause hematoma.
Question 4 of 5
Which behavioral characteristic describes the domestic abuser?
Correct Answer: D
Rationale: Low self-esteem. Batterers were usually physically or psychologically abused as children or have had experiences of parental violence. Batterers are also manipulative, and have a great need to exercise control or power over their partners.
Question 5 of 5
The nurse is observing a staff member talking with the parent of a pediatric client. The parent is crying and states, 'I do not know what to do about this situation with my child.' The staff member responds, 'I am sure you will do the right thing.' The nurse should recognize that the staff member's response
Correct Answer: C
Rationale: The response (
C) dismisses the parent's distress and provides false reassurance, lacking empathy. It does not express interest (
A), respect privacy (
B), or convey empathy (
D).