NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
The nurse is preparing to administer a scheduled vaccine to a pediatric client with hemophilia. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: C,E
Rationale: Firm pressure for 5 minutes (
C) and using a small, short needle (E) minimize bleeding in hemophilia. Ibuprofen (
A) increases bleeding risk, warm compresses (
B) may worsen bleeding, and massage (
D) can cause hematoma.
Question 2 of 5
While assisting a doctor with a sterile dressing change, the nurse notices that the doctor has contaminated his left hand. Which action should the nurse take?
Correct Answer: B
Rationale: Telling the doctor about the contamination maintains sterility and patient safety. Handing gloves assumes he noticed. Antibiotics are not a substitute for sterility. Reporting is secondary to immediate action.
Question 3 of 5
The nurse is collecting data from a client with primary adrenal insufficiency (Addison disease). Which of the following findings is consistent with the condition?
Correct Answer: A
Rationale: Bronze skin pigmentation (
A) is a hallmark of Addison disease due to increased ACTH stimulating melanocytes. Increased hair (
B) and supraclavicular fat pad (
D) are associated with Cushing syndrome, while striae (
C) are nonspecific but not typical of Addison disease.
Question 4 of 5
The nurse is assisting in planning care for a client experiencing an acute attack of Ménière disease. Which action is a high priority to include in the plan of care?
Correct Answer: C
Rationale: A quiet environment (
C) reduces sensory overload, a priority in Ménière disease attacks. Fall precautions (
A), emesis basin (
B), and IV fluids (
D) are supportive but less critical.
Question 5 of 5
The nurse is changing a dressing. Which event indicates a break in sterile technique?
Correct Answer: B
Rationale: Turning around risks contaminating the sterile field by passing non-sterile areas over it. Opening flaps away, using the table, or pouring saline maintain sterility.