NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
The nurse is caring for an adolescent client who just had placement of an external fixation device for long-term stabilization of a fractured tibia. Which interventions should the nurse expect to implement when caring for this client? Select all that apply.
Correct Answer: C,D,E
Rationale: Notifying the RN of drainage or pain, performing neurovascular checks, and sterile pin care prevent complications like infection or neurovascular compromise. Tightening pins is not a nursing task, and bed rest is not always required, depending on the care plan.
Question 2 of 5
A nurse enters a client's room to discover that the client has no pulse or respirations. After calling for help, the first action the nurse should take is
Correct Answer: C
Rationale: Establishing an open airway is always the primary objective in a cardiopulmonary arrest.
Question 3 of 5
How often must physical restraints be released?
Correct Answer: A
Rationale: Physical restraints must be released every 2 hours to assess skin, circulation, and comfort, with checks every 30 minutes while restrained. Safety and Infection Control
Question 4 of 5
Which of the following are correct nursing actions related to client positioning? Select all that apply.
Correct Answer: B,D,E
Rationale: Trendelenburg on the left traps air in the heart’s apex for air embolism, side-lying with flexion aids lumbar puncture access, and arm elevation facilitates chest tube placement. Fowler post-catheterization risks bleeding, and right side-lying is standard post-liver biopsy.
Question 5 of 5
The nurse is caring for a client with suspected tracheoesophageal fistula and esophageal atresia. The nurse is most likely to observe
Correct Answer: A
Rationale: Tracheoesophageal fistula and esophageal atresia prevent normal swallowing, leading to pooling of saliva and excessive salivation. Abdominal distension or vomiting may occur in some cases, but salivation is the most consistent sign. Diminished lung sounds are less specific.