NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
The nurse is preparing to administer ophthalmic timolol maleate to a client with glaucoma. It would require follow-up if the nurse
Correct Answer: C
Rationale: Wiping from outer to inner canthus risks introducing contaminants to the eye. Applying lacrimal duct pressure prevents systemic absorption, pulling the eyelid exposes the sac, and holding the dropper at the correct height ensures safe administration.
Question 2 of 5
The practical nurse is assisting the registered nurse in performing well-child examinations in a pediatric clinic. Which finding requires further evaluation?
Correct Answer: B
Rationale: Lateral curvature of the spine in a 10-year-old suggests scoliosis, which requires further evaluation to prevent progression. A rounded chest in infants is normal due to developing lungs, and an S3 heart sound can be normal in young children.
Question 3 of 5
The nurse is caring for a client who is scheduled for surgery in 2 hours and is reporting anxiety and shortness of breath. The client has a heart rate of 110/min and respiratory rate of 24/min. Which of the following actions would be a priority for the nurse to take?
Correct Answer: B
Rationale: Placing the client in Fowler or high Fowler position improves lung expansion and oxygenation, addressing shortness of breath and tachycardia caused by anxiety or potential respiratory distress. Lorazepam requires a prescription, bronchodilators are not indicated without wheezing, and reassurance alone does not address physical symptoms.
Question 4 of 5
A nurse is documenting notes in the client's electronic record after making rounds on assigned clients. Which entry is an appropriate documentation?
Correct Answer: C
Rationale: Inspiratory wheezes in bilateral lower lung fields is a specific, objective finding that accurately describes the client's condition. The other entries are vague, lack detail, or are subjective without supporting data.
Question 5 of 5
The nurse is monitoring clients before and after scheduled procedures. Follow-up would be required if the nurse places a client in which position?
Correct Answer: D
Rationale: After a lumbar puncture, clients should remain supine for several hours to prevent cerebrospinal fluid leakage and headaches. The right side-lying position is correct post-liver biopsy to prevent bleeding, and Sims position is appropriate for an enema.