NCLEX-PN
PN NCLEX Practice Questions Questions
Extract:
Question 1 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.
Question 2 of 5
At the geriatric day care program a client is crying and repeating 'I want to go home. Call my daddy to come for me.' The nurse should
Correct Answer: C
Rationale: Tell the client you will call someone to come for her and suggest joining the exercise group while she waits. This uses comforting and distraction to reduce distress in dementia.
Question 3 of 5
The nurse is caring for a 7-year-old client with acute glomerulonephritis. Which of the following is a priority for the nurse to monitor?
Correct Answer: A
Rationale: Hypertension is a priority in glomerulonephritis due to fluid retention, risking complications. Hematuria , edema , and lipids are monitored but less urgent.
Question 4 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 5 of 5
The nurse is caring for an adult male who is receiving haloperidol (Haldol). Which complaint by the client is of most concern to the nurse and should be immediately reported?
Correct Answer: C
Rationale: Leg cramping and restlessness suggest akathisia, a serious extrapyramidal side effect of haloperidol, requiring immediate reporting.