NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
The nurse is caring for an adult who had a transsphenoidal hypophysectomy earlier today. The client is now on the surgical unit after an uneventful stay in the postanesthesia care unit. How should the nurse position the client?
Correct Answer: C
Rationale: Semi-reclining reduces intracranial pressure and prevents cerebrospinal fluid leakage post-transsphenoidal hypophysectomy. Supine increases leakage risk, and upright or side-lying are less optimal.
Question 2 of 5
A nurse assigned to the rural health clinic is to administer a Mantoux test to a group of factory workers. The nurse should administer the test in each client's:
Correct Answer: C
Rationale: The Mantoux test is administered intradermally in the forearm for accurate reading of the tuberculin reaction. Thigh , buttock , and upper arm are incorrect sites.
Question 3 of 5
The nurse is preparing to administer a dose of enoxaparin (Lovenox) to a client with a pulmonary embolism. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Enoxaparin, a low-molecular-weight heparin, is administered subcutaneously in the abdomen (avoiding a 2-inch radius around the umbilicus) to ensure proper absorption. Deltoid injection (
A) is incorrect, massaging (
B) risks hematoma, and dilution (
D) is unnecessary.
Extract:
The nurse assesses a patient's IV site and finds that it is red, hot, and tender to touch.
Question 4 of 5
The most appropriate first nursing action is:
Correct Answer: A
Rationale: Signs of phlebitis or infection require stopping the infusion and removing the IV to prevent further complications.
Extract:
Question 5 of 5
A patient is prescribed nitroglycerin for angina. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Nitroglycerin is placed sublingually for rapid absorption to relieve angina. Swallowing or taking with water delays action, and meal timing is irrelevant.