NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
The nurse is reinforcing teaching with a client who is starting to use a cervical cap for contraception. Which client statement would require follow-up?
Correct Answer: C
Rationale: Leaving the cervical cap in for at least 24 hours increases infection risk; it should remain for 6-8 hours post-intercourse. Applying spermicide and inserting hours before intercourse are correct practices for effective use.
Question 2 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 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
The nurse is caring for a woman who is HIV positive. The woman starts her period. There is menstrual blood on the floor. What substance should the nurse use to clean up the floor?
Correct Answer: A
Rationale: Chlorine bleach is the best product for cleaning blood spills, as HIV can be present in menstrual blood, requiring a disinfectant effective against bloodborne pathogens.
Question 5 of 5
The nurse is caring for a client from the Middle East. The nurse is aware that the client will most likely:
Correct Answer: A
Rationale: Many Middle Eastern clients prioritize daily prayer, a cultural practice that nurses should accommodate.