NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
The nurse is observing a staff member perform open suctioning for a client who has a tracheostomy tube. The nurse should intervene if the staff member is observed
Correct Answer: C
Rationale: Applying suction while inserting the catheter can cause tracheal mucosa damage and hypoxia. Flushing the catheter with saline maintains patency, and semi-Fowler position aids breathing and reduces aspiration risk during suctioning.
Question 2 of 5
The nurse is working with unlicensed assistive personnel (UAP). Which task can the nurse safely assign to UAP?
Correct Answer: B
Rationale: Collecting a urine specimen from a Foley catheter is within the UAP's scope, as it involves a straightforward procedure with proper training. Colostomy irrigation and refilling enteral feeding containers require nursing judgment and are not safe for UAP to perform.
Question 3 of 5
A 4 year-old child is recovering from chicken pox (varicella). The parents would like to have the child return to day care as soon as possible. In order to ensure that the illness is no longer communicable, what should the nurse assess for in this child?
Correct Answer: A
Rationale: All lesions crusted. The child is no longer contagious when all lesions are crusted over.
Question 4 of 5
A client is admitted with suspected pheochromocytoma. The physiological alteration associated with pheochromocytoma is:
Correct Answer: A
Rationale: Pheochromocytoma causes catecholamine release, leading to extreme hypertension . Rash , iris flecks , and nasolabial creases are not associated.
Question 5 of 5
Which of the following instructions would not be included in the discharge teaching for a client receiving Thorazine (chlorpromazine)?
Correct Answer: B
Rationale: Avoiding aged cheese is relevant for MAOIs, not chlorpromazine. Protective clothing prevents photosensitivity, hard candy relieves dry mouth, and reporting a sore throat is critical for agranulocytosis.