NCLEX-PN
NCLEX PN Practice Test Questions
Extract:
Question 1 of 5
The nurse is planning care for a client who must remain in bed for several weeks. Which action will do most to prevent the development of pressure ulcers?
Correct Answer: D
Rationale: Frequent position changes relieve pressure on bony prominences, preventing pressure ulcers. ROM, breathing, or footboards address other complications.
Question 2 of 5
A patient has recently been prescribed Lidocaine Hydrochloride. Which of the following symptoms may occur with over dosage?
Correct Answer: B
Rationale: Lidocaine Hydrochloride can cause fatigue and confusion if an over dosage occurs.
Question 3 of 5
The nurse is caring for a client with bipolar disorder who is hospitalized for an acute manic episode. Which of the following actions would the nurse expect to be included in the client's plan of care? Select all that apply.
Correct Answer: B,C,D,E,F
Rationale: During a manic episode, a private room (
B) minimizes stimuli, appropriate clothing (
C) supports dignity, group therapy (
D) fosters socialization, physical activity (E) channels energy, and dining with others (F) promotes normalcy. Planning an outing (
A) is inappropriate due to impulsivity risks.
Question 4 of 5
The nurse is planning care for all of the following clients. Which client should be cared for first?
Correct Answer: B
Rationale: The 75-year-old post-prostatectomy client's request to remove the catheter and urgency to urinate suggest potential catheter obstruction or bladder irritation, which could lead to complications like infection or bladder damage. This requires immediate assessment and intervention, taking priority over routine dressing changes, scheduled mobility, or pain management.
Question 5 of 5
The nurse is teaching the client regarding bladder retraining. The ability to remain continent depends on the:
Correct Answer: C
Rationale: The central nervous system coordinates bladder control, integrating sensory input and voluntary control for continence. Other systems play secondary roles.