NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
The nurse is preparing to irrigate the wound of a 7-year-old client who sustained a laceration while on a playground. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: A,D,E
Rationale: Analgesics (
A), checking vaccinations (
D) for tetanus risk, and continuous flushing (E) are appropriate. Cleaning from contaminated to clean (
B) is incorrect, and a 27-gauge needle (
C) is too small for irrigation.
Question 2 of 5
A male client calls for a nurse because of chest pain. Which statement by the client would require the most immediate action by the nurse?
Correct Answer: D
Rationale: Chest pain radiating to the jaw and left arm is a classic symptom of myocardial infarction, requiring immediate action to assess for a life-threatening cardiac event.
Question 3 of 5
The nurse is caring for a client with a terminal illness who is expected to die during the shift. The nurse notes that the client has loud, wet respirations. Which of the following medications would effectively treat this finding?
Correct Answer: B
Rationale: Sublingual atropine (
B) reduces salivary secretions, alleviating 'death rattle.' Lorazepam (
A) is for anxiety, fentanyl (
C) for pain, and ondansetron (
D) for nausea.
Question 4 of 5
A client is admitted for removal of a goiter. Which nursing intervention should receive priority during the post-operative period?
Correct Answer: B
Rationale: A goiter is hyperplasia of the thyroid gland. Removal of a goiter can result in laryngeal spasms and airway occlusion. The other answers are lesser in priority.
Question 5 of 5
The nurse is caring for a depressed client with a new prescription for a selective serotonin reuptake inhibitor (SSRI) antidepressant. In reviewing the admission history and physical, which of the following should prompt questions about the safety of this medication?
Correct Answer: B
Rationale: SSRIs should not be taken concurrently with MAO inhibitors because serious, life-threatening reactions may occur with this combination of drugs.