NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
The nurse is preparing an injection of IM haloperidol from a glass ampule. Which of the following actions by the nurse are appropriate? Select all that apply.
Correct Answer: B,C
Rationale: Breaking the ampule away from the body (
B) and disposing in a sharps container (
C) are safe practices. An 18-gauge needle (
A) is too large, injecting air (
D) is unnecessary, and resting the needle on the rim (E) risks contamination.
Question 2 of 5
The nurse is speaking to a client who takes desmopressin nasal spray for diabetes insipidus. Which statement by the client is most important for the nurse to report to the health care provider?
Correct Answer: D
Rationale: Frequent headaches (
D) may indicate overmedication or hyponatremia, requiring urgent reporting. Fluid restriction (
A), colds (
B), and nasal pain (
C) are less critical.
Question 3 of 5
Which of the following herbal supplements pose an increased risk for bleeding in surgical clients and should be discontinued prior to major surgery? Select all that apply.
Correct Answer: B,C,D
Rationale: Garlic (
B), ginger (
C), and ginkgo biloba (
D) have antiplatelet effects, increasing bleeding risk. Black cohosh (
A) and hawthorn (E) do not significantly affect bleeding.
Question 4 of 5
The nurse is caring for a client who had a portable water seal chest drainage system inserted today. Which observation indicates that the client's drainage system is working properly?
Correct Answer: A
Rationale: No bubbles in the water seal bottle indicates a stable system without air leaks, confirming proper function post-insertion.
Question 5 of 5
The nurse is preparing to irrigate the wound of a 7-year-old client who sustained a laceration while on a playground. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: A,D,E
Rationale: Analgesics (
A), checking vaccinations (
D) for tetanus risk, and continuous flushing (E) are appropriate. Cleaning from contaminated to clean (
B) is incorrect, and a 27-gauge needle (
C) is too small for irrigation.