NCLEX-PN
PN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
The nurse is preparing to change the wound dressing for a client who is receiving negative pressure wound therapy. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: A,B,C,D,E
Rationale: All actions are correct: pain management , skin protection , proper foam sizing , correct pressure , and leak-free dressing ensure effective therapy.
Question 2 of 5
The nurse is caring for a client with a seizure disorder. Which of the following seizure precautions should the nurse implement? Select all that apply.
Correct Answer: A,C,E
Rationale: Padded rails prevent injury. Suction clears airways. Oxygen supports breathing. Removing linen is unnecessary, and restraints are a last resort due to injury risk.
Question 3 of 5
Which of the following nursing assessment findings require immediate discontinuance of an antipsychotic medication?
Correct Answer: D
Rationale: Hyperpyrexia, severe muscle rigidity, and malignant hypertension are signs of neuroleptic malignant syndrome (NMS), requiring immediate discontinuation of the antipsychotic.
Question 4 of 5
The nurse is caring for a client with a head injury who has an intracranial pressure monitor in place. Assessment reveals an ICP reading of 66. What is the nurse's best action?
Correct Answer: A
Rationale: Normal ICP is less than 15. 66 is a high reading, and the RN and the physician should be notified. Answer B would be the action if the reading was normal, so it is incorrect. Answers C and D would not be appropriate actions, so they are wrong.
Question 5 of 5
A client with myocardial infarction underwent successful revascularization with stent placement, is now chest pain free, and will be attending cardiac rehabilitation as an outpatient. The client is embarrassed to talk to the health care provider about resuming sexual relations. What teaching should the nurse reinforce with this client?
Correct Answer: A
Rationale: Climbing two flights of stairs without symptoms indicates sufficient cardiac reserve for sexual activity. Waiting for rehab completion or 6 months is unnecessary, and medications require provider discussion.