NCLEX-PN
PN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
The nurse is giving discharge teaching to a client 7 days post myocardial infarction. He asks the nurse why he must wait 6 weeks before having sexual intercourse. What is the best response by the nurse to this question?
Correct Answer: B
Rationale: There is a risk of cardiac rupture at the point of the myocardial infarction for about 6 weeks. Scar tissue should form about that time. Waiting until the client can tolerate climbing stairs is the usual advice given by health care providers.
Question 2 of 5
The mother of a 2 month-old baby calls the nurse 2 days after the first DTaP, HPV, Hepatitis B and HIB immunizations. She reports that the baby feels very warm, cries inconsolably for as long as 3 hours, and has had several shaking spells. In addition to referring her to the emergency room, the nurse should document the reaction on the baby's record and expect which immunization to be most associated with the findings the infant is displaying?
Correct Answer: A
Rationale: The majority of reactions occur with the administration of the DTaP vaccination. Contraindications to giving repeat DTaP immunizations include the occurrence of severe side effects after a previous dose as well as signs of encephalopathy within 7 days of the immunization.
Question 3 of 5
What principle of HIV disease should the nurse keep in mind when planning care for a newborn who was infected in utero?
Correct Answer: B
Rationale: The infant is very susceptible to infections. HIV compromises the immune system, increasing susceptibility to opportunistic infections.
Question 4 of 5
The nurse in the emergency department is caring for a client who has a small piece of wood penetrating the right eye. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Stabilizing the object prevents further damage until surgical removal. Flushing , removing , or applying ointment risks worsening the injury.
Question 5 of 5
The nurse is inserting an indwelling urinary catheter for a female client. After inserting and advancing the catheter, the nurse notes no return of urine. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: No urine return may indicate incorrect placement. Reinserting at a slightly different angle corrects this. Notifying the provider is premature, a new kit is unnecessary, and waiting 30 minutes delays care.