NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
The nurse is caring for the client who is 24 hours post-TURP and is having painful bladder spasms. Which intervention should the nurse plan to implement?
Correct Answer: B
Rationale: A. Opioid medications will decrease the pain sensations but will not decrease the muscle spasms. B. The belladonna and opium suppository will inhibit smooth muscle contraction and decrease bladder spasms; thus, it will also reduce pain. C. Ambulation will not decrease the discomfort. D. Heat, rather than cold, is the recommended nonphannacological treatment for bladder spasms.
Question 2 of 5
Before suctioning a client with a tracheostomy, which nursing action should the nurse perform first?
Correct Answer: C
Rationale: Administering 100% oxygen (hyperoxygenation) for 1-2 minutes before suctioning helps prevent hypoxia during the procedure, which can cause desaturation.
Question 3 of 5
The clinic nurse is reviewing the history of the client diagnosed with bacterial vaginosis (BV). Which identified disorder places the client at a higher risk of developing BV?
Correct Answer: D
Rationale: A. Gastroesophageal reflux disorder is not a risk factor for BV. B. Hypothyroidism does affect the reproductive system. However, it does not specifically alter the pH of the vagina, which could increase the incidence of BV. C. Cardiovascular disease is not a risk factor for BV. D. Diabetes is a risk factor for a variety of vulvovaginal infections.
Question 4 of 5
When monitoring the treatment response of a client with diabetes insipidus, which component of the urinalysis is most important for the nurse to assess?
Correct Answer: C
Rationale: Diabetes insipidus causes dilute urine with low specific gravity. Monitoring specific gravity assesses treatment effectiveness in restoring normal urine concentration.
Question 5 of 5
In an adult client, the nurse plans to administer 2 mL of medication I.M. Which technique is most accurate?
Correct Answer: C
Rationale: The deltoid muscle is appropriate for 2 mL IM injections in adults, using a 1-1.5" needle at a 90-degree angle for proper muscle penetration.