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
The nurse has attended a staff education program about administering intramuscular injections. Which of the following statements by the nurse would indicate a correct understanding of the program?
Correct Answer: D
Rationale: Displacing subcutaneous tissue (
D) via the Z-track method prevents leakage and irritation. IM injections use a 90-degree angle (A is incorrect), waiting 3 seconds (
B) is not standard, and massaging (
C) is avoided for some medications.
Question 3 of 5
The nurse prepares to insert an indwelling urinary catheter in a client who is disoriented to time, place, and person and cannot follow directions or commands. Which intervention is most important when inserting the urinary catheter?
Correct Answer: B
Rationale: Maintaining a sterile field (
B) is critical to prevent infection, especially in a disoriented client. Explaining the procedure (
A) is ideal but not feasible, kit placement (
C) is secondary, and swab disposal (
D) follows insertion.
Question 4 of 5
The nurse is preparing to administer an anticholinergic medication to a client with irritable bowel syndrome. Which of the following findings would require follow-up prior to administering the medication?
Correct Answer: A
Rationale: Anticholinergics can worsen urinary retention, so 650 mL post-void residual (
A) requires follow-up. Macular degeneration (
B), loose stools (
C), and fatigue (
D) are not contraindications.
Question 5 of 5
Which behavioral characteristic describes the domestic abuser?
Correct Answer: D
Rationale: Low self-esteem. Batterers were usually physically or psychologically abused as children or have had experiences of parental violence. Batterers are also manipulative, and have a great need to exercise control or power over their partners.