NCLEX Questions, NCLEX Practice Questions PN Questions, NCLEX-PN Questions, Nurselytic

Questions 176

NCLEX-PN

NCLEX-PN Test Bank

NCLEX Practice Questions PN Questions

Extract:


Question 1 of 5

The nurse is changing a wet to dry dressing. Which action is appropriate?

Correct Answer: D

Rationale: Packing the wound with sterile gloves maintains sterility, ensuring proper wet-to-dry dressing application for debridement.

Question 2 of 5

The nurse is making assignments for the day's care. Which assignment should not be given to the nursing assistant?

Correct Answer: B

Rationale: Administering an enema requires nursing judgment and is outside a nursing assistant's scope. Other tasks are appropriate for a nursing assistant.

Question 3 of 5

The nurse is assisting with care of a client with blunt head injury admitted for observation, including hourly neurologic checks. At 1:00 AM, the client reports a headache; the neurologic check is normal, and the nurse administers acetaminophen prn. At 2:00 AM, the client appears to be sleeping. What action does the nurse anticipate taking?

Correct Answer: A

Rationale: Hourly neurologic checks require arousing the client to assess orientation (
A). Checking paresthesia (
B), assuming relief (
C), or only verifying respiratory rate (
D) do not meet monitoring requirements.

Question 4 of 5

After inserting an indwelling catheter into an adult male, the nurse secures the catheter by:

Correct Answer: A

Rationale: Taping the catheter laterally to the thigh prevents tension or dislodgement while allowing mobility. Upward or downward taping risks kinking, and looping increases infection risk.

Question 5 of 5

The nurse prepares to administer medications to a client. Which of the following client data are acceptable for use as client identifiers? Select all that apply.

Correct Answer: A, B, D

Rationale: Date of birth (
A), first and last name (
B), and medical record number (
D) are reliable identifiers. Health care provider (
C) and room number (E) are not specific to the client.

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