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PN NCLEX Practice Exam Questions

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Question 1 of 5

The nurse is changing a dressing. Which event indicates a break in sterile technique?

Correct Answer: B

Rationale: Turning around risks contaminating the sterile field by passing non-sterile areas over it. Opening flaps away, using the table, or pouring saline maintain sterility.

Question 2 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.

Question 3 of 5

A client with acquired immunodeficiency syndrome is admitted for treatment of wasting syndrome. Which of the following dietary modifications can be used to compensate for the limited absorptive capability of the intestinal tract?

Correct Answer: D

Rationale: Small, frequent meals are easier to digest and absorb, compensating for the limited absorptive capacity in wasting syndrome. Cooking foods thoroughly reduces infection risk but doesn't aid absorption. Yogurt and buttermilk may not be tolerated, and forcing fluids addresses hydration, not absorption.

Question 4 of 5

The nurse assists with data collection during a screening event at a gastroenterology clinic. Which of the following client statements include risk factors for esophageal cancer? Select all that apply.

Correct Answer: A,C,D

Rationale: Smoking cigars (
A), heavy alcohol use (
C), and chronic acid reflux (
D) are established risk factors for esophageal cancer. Obesity (
B) is a weaker risk, and salted foods (E) are not directly linked.

Question 5 of 5

A nurse is caring for an elderly client who had a colectomy for removal of cancer 2 days ago. The client is becoming increasingly restless and has been given IV morphine every 2 hours for severe pain. Respirations are 28/min and shallow. Which arterial blood gas results best indicate that the client is in acute respiratory failure and needs immediate intervention?

Correct Answer: A

Rationale: PaO2 < 50 mm Hg and PaCO2 > 50 mm Hg (
A) indicate acute respiratory failure, requiring immediate intervention. Other options show less severe hypoxemia or normal values.

Similar Questions

The nurse is assessing a 7-year-old client who was recently admitted with nausea, vomiting, severe right lower quadrant pain, and an elevated WBC count. Which of the following statements by the client would be a priority to follow up?
A client with right-sided weakness becomes dizzy, loses balance, and begins to fall while the nurse is assisting with ambulation. Which nursing actions would best prevent injury to the client and nurse while guiding the client to a horizontal position on the floor?
An adult is admitted to the long-term care facility. She had a cerebrovascular accident and no longer needs acute care. The client has left side hemiplegia. Because of the type of deficit the client has, the nurse knows that this woman is at increased risk for which of the following?
The nurse monitoring a client with appendicitis will expect the client to give which description of the associated abdominal pain?
The nurse is caring for a client with a tracheostomy who has an order to begin oral intake. Which of the following actions should the nurse take to decrease the client's risk for aspiration?

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