NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
The nurse is caring for a client with an exacerbation of chronic obstructive pulmonary disease and pneumonia. The nurse notes that the client has become disoriented and restless and becomes concerned that the client may have impaired oxygenation due to poor secretion clearance. Which is the nurse’s priority action?
Correct Answer: B
Rationale: Disorientation and restlessness suggest hypoxia. Administering oxygen via a venturi mask delivers precise oxygen concentrations to improve oxygenation, addressing the priority concern. Lorazepam may worsen respiratory depression, IV fluids do not address hypoxia, and semi-Fowler aids breathing but is secondary.
Question 2 of 5
The nurse is caring for a client who had a laparoscopic cholecystectomy 3 days ago. The client's WBC count has increased over the past 2 days. Which assessment finding is most concerning?
Correct Answer: D
Rationale: A stiff abdomen with rebound tenderness suggests peritonitis, a life-threatening complication post-cholecystectomy, requiring immediate intervention. Shoulder pain is common due to referred pain, drainage and incision redness suggest localized infection, and a cough may indicate a respiratory issue, but peritonitis is most urgent.
Question 3 of 5
A chemical reaction between drugs prior to their administration or absorption is known as:
Correct Answer: A
Rationale: Drug incompatibility refers to chemical reactions between drugs before administration, like precipitation in IV lines. Side effects, adverse events, and allergic responses occur post-administration. Pharmacological Therapies
Question 4 of 5
A concern regarding maternal and infant mortality and morbidity is that:
Correct Answer: A
Rationale: Lack of prenatal care in some populations is a significant contributor to maternal and infant mortality and morbidity, as it prevents early intervention. The other concerns are less directly linked. Health Promotion and Maintenance
Question 5 of 5
A 4 year-old child is recovering from chicken pox (varicella). The parents would like to have the child return to day care as soon as possible. In order to ensure that the illness is no longer communicable, what should the nurse assess for in this child?
Correct Answer: A
Rationale: All lesions crusted. The child is no longer contagious when all lesions are crusted over.