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PN NCLEX Practice Exam Questions

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Question 1 of 5

The nurse is caring for a pregnant woman with pregnancy induced hypertension (PIH) receiving magnesium sulfate intravenously. In assessing the client, it is noted that respirations are 12, pulse and blood pressure have dropped significantly, and 8 hour output is 200 ml. What should the nurse do first?

Correct Answer: C

Rationale: The assessments strongly suggest magnesium sulfate toxicity. The nurse must discontinue the IV immediately and take measures to ensure the safety of the client.

Question 2 of 5

The nurse has reinforced teaching with a client with newly diagnosed psoriasis. Which of the following statements by the client would require follow-up?

Correct Answer: A

Rationale: Moderate sunlight exposure can improve psoriasis, so statement A is incorrect and requires follow-up. Avoiding scratching (
B), recognizing stress as a trigger (
C), and avoiding alcohol (
D) are accurate and align with psoriasis management.

Question 3 of 5

The LPN is caring for a woman who delivered a healthy 7-lb baby boy 24 hours ago. Baseline vital signs were blood pressure (BP)=90/64, temperature (T)=97.6°F, pulse (P)=72, and respirations (R)=14. Which finding is of greatest concern?

Correct Answer: D

Rationale: The significant rise in BP to 129/82 from 90/64 may indicate postpartum complications like preeclampsia, requiring immediate assessment. Red drainage, cramping, and increased water intake are normal postpartum findings.

Question 4 of 5

An adult has been diagnosed with Bell's palsy and asks what causes it. The nurse knows that which of the following is correct?

Correct Answer: B

Rationale: The exact cause of Bell's palsy is unknown, though it may be associated with viral infections or inflammation, but not specifically chickenpox, flu, or trauma.

Question 5 of 5

The home health nurse is providing long-term care to several clients. Which are examples of inappropriately crossing professional boundaries? Select all that apply.

Correct Answer: A,D,E

Rationale: Accepting expensive gifts (
A), soliciting investments (
D), and socializing with alcohol (E) violate professional boundaries. Offering to pray (
B) is acceptable if client-initiated, and a sympathy card (
C) is appropriate.

Similar Questions

The charge nurse in a long-term memory care facility is making assignments for the Alzheimer unit. Which tasks may be delegated to experienced unlicensed assistive personnel? Select all that apply.
The nurse is caring for a client with suspected acute rheumatic fever. Which of the following questions would be most important for the nurse to ask the client?
An adolescent client comes to the clinic 3 weeks after the birth of her first baby. She tells the nurse she is concerned because she has not returned to her pre-pregnant weight. Which action should the nurse perform first?
The nurse is caring for a client who has acute pericarditis. Which of the following findings would be a priority to follow up?
The nurse is preparing to administer an anticholinergic medication to a client with irritable bowel syndrome. Which of the following findings would require follow-up prior to administering the medication?

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