NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
The nurse is preparing to administer an acetaminophen suppository to a 4-year-old client. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: A,C,E
Rationale: The side-lying position facilitates insertion, a gloved finger ensures hygiene, and holding buttocks prevents expulsion. Guiding along the rectal wall is unnecessary, and the suppository should be inserted beyond the external sphincter for absorption.
Question 2 of 5
The nurse enters the room of an adult who is having a grand mal seizure. Which initial action is appropriate?
Correct Answer: C
Rationale: Turning the head to the side during a seizure prevents airway obstruction by saliva or vomit, prioritizing safety, unlike tongue blades (risk injury), restraints, or immediate physician calls.
Question 3 of 5
The nurse is preparing to administer an acetaminophen suppository to a 4-year-old client. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: A,C,E
Rationale: The side-lying position facilitates insertion, a gloved finger ensures hygiene, and holding buttocks prevents expulsion. Guiding along the rectal wall is unnecessary, and the suppository should be inserted beyond the external sphincter for absorption.
Question 4 of 5
Which of the following findings suggests a complication in a client with surgical removal of a pituitary tumor?
Correct Answer: A
Rationale: Polyuria may indicate diabetes insipidus, a common complication post-pituitary surgery due to disruption of antidiuretic hormone production.
Question 5 of 5
The nurse is teaching a client with metastatic bone disease about measures to prevent hypercalcemia. It would be important for the nurse to emphasize
Correct Answer: C
Rationale: The importance of walking as much as possible. Mobility prevents bone demineralization, reducing the risk of hypercalcemia.