NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
The nurse is preparing to administer heparin subcutaneously. Which needle size is most appropriate?
Correct Answer: C
Rationale: A 25-gauge, 5/8-inch needle is appropriate for subcutaneous injections like heparin to minimize tissue trauma.
Question 2 of 5
The office nurse is caring for the client diagnosed with chlamydia and syphilis. Based on this diagnosis, which medication order would require the nurse's immediate review with the prescribing HCP?
Correct Answer: C
Rationale: A. Doxycycline (Vibramycin), a tetracycline antibiotic, is an appropriate drug for treating chlamydia. B. Azithromycin (Zithromax), a semisynthetic macrolide antibiotic, is an appropriate drug for treating chlamydia. C. Metronidazole (Flagyl) is an anti-infective against anaerobic organisms, an amoebicide, and an antiprotozoal agent. It is not indicated for either chlamydia or syphilis. Flagyl is used to treat bacterial vaginosis and trichomoniasis. Collaboration with the HCP is necessary to discuss and clarify the order. D. Penicillin G (Bicillin) is an appropriate drug for treating syphilis.
Question 3 of 5
The nurse is preparing to perform a sterile dressing change. Which action maintains the sterile field?
Correct Answer: A
Rationale: Opening the sterile kit away from the body prevents contamination of the sterile field.
Question 4 of 5
Which assessment finding provides the best evidence that a client with a long history of smoking is experiencing respiratory difficulty?
Correct Answer: A
Rationale: A pulse oximeter reading of 85% indicates low oxygen saturation, a direct sign of respiratory difficulty in a smoker.
Question 5 of 5
The nurse is obtaining a health history on the client with a possible left-sided varicocele. Which question is most important?
Correct Answer: C
Rationale: A. Varicoceles are not inherited. B. A varicocele does occur most frequently on the left side due to retrograde blood flow from the renal vein; however, a varicocele rarely produces symptoms. C. Asking about children is important because the most common cause of male infertility is a varicocele. Approximately 15% to 20% of the healthy, fertile male population is estimated to have varicoceles. However, 40% of infertile men may have them. D. A varicocele rarely produces any symptoms. It is usually diagnosed during physical examinations related to infertility. If symptoms do occur, pain and groin tenderness are the most common symptoms.