NCLEX Questions, NCLEX PN Test Questions Questions, NCLEX-PN

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Question 1 of 5

The nurse is caring for a woman who has internal radiation for cancer of the cervix. Which of the following situations poses the greatest risk for others?

Correct Answer: A

Rationale: Prolonged close contact (daughter's hours-long visit) increases radiation exposure risk. Brief visits, tray setup, or mopping pose minimal risk.

Question 2 of 5

The nurse preceptor observes a graduate practical nurse collecting a urine sample for urinalysis and culture as pictured in the exhibit. What is the preceptor's best action?

A. Advise the graduate nurse to discard the collected urine specimen and record the output B. Advise the graduate nurse to use a sterile specimen cup rather than a graduated container for collection C. Explain to the graduate nurse that midstream clean catch or straight catheterization is required D. Remind the graduate nurse that the specimen should be kept cool until it is sent to the laboratory

Correct Answer: C

Rationale: Urine for culture requires a midstream clean catch or catheterization (
C) to avoid contamination. A graduated container (
B) is acceptable if sterile. Discarding (
A) is unnecessary, and cooling (
D) is secondary.

Question 3 of 5

A 43-year-old woman with lupus erythematosus expresses frustration about the unpredictable course of her illness and the change in her physical appearance. Which nursing intervention would be most appropriate?

A. Explore with her the effect the lupus has on her occupation, leisure activities, and personal relationships. B. Explain to her that things could be worse and that she could have a more serious illness, such as terminal cancer, to help her put her situation into perspective. C. Help the client reduce conflicts in her personal life. D. Teach her what can be expected as the disease progresses.

Correct Answer: A

Rationale: Exploring lupus' impact on her life validates her frustrations, addressing emotional and social effects therapeutically.

Question 4 of 5

While performing an initial assessment on a newborn following a breech delivery, the nurse suspects hip dislocation. Which of the following is most suggestive of the abnormality?

A. Flexion of lower extremities B. Negative Ortolani response C. Lengthened leg of affected side D. Irregular hip symmetry

Correct Answer: D

Rationale: Irregular hip symmetry. Early assessment of irregular hip symmetry alerts the nurse and the provider to a correctable congenital hip dislocation.

Question 5 of 5

There has been a large-scale community disaster and clients must be roomed together at the hospital. Who are appropriate roommates in light of infection risk principles?

A. A client diagnosed with varicella and a client with pertussis B. A client placed in an airborne infection isolation room (AIIR) and a client with heart failure C. A client receiving chemotherapy and a client with chronic obstructive pulmonary disease (COPD) coughing yellow sputum D. A client with pelvic inflammatory disease (PID) and a client with coffee ground emesis E. Two clients diagnosed with tuberculosis

Correct Answer: D

Rationale: PID and coffee ground emesis (
D) are non-infectious, making them suitable roommates. Varicella, pertussis, TB (A, E), and COPD with sputum (
C) pose infection risks. AIIR (
B) is for airborne infections, incompatible with heart failure.

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