NCLEX-PN
NCLEX PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is reviewing with a client how to collect a clean catch urine specimen. What is the appropriate sequence to teach the client?
Correct Answer: A
Rationale: A clean catch urine is difficult to obtain and requires clear directions. Instructing the client to carefully clean the meatus, then void naturally with a steady stream prevents surface bacteria from contaminating the urine specimen. As starting and stopping flow can be difficult, once the client begins voiding it's best to just slip the container into the stream. Other responses do not reflect correct technique.
Question 2 of 5
A child who ingested 15 maximum strength acetaminophen tablets 45 minutes ago is seen in the emergency department. Which of these orders should the registered nurse implement first?
Correct Answer: A
Rationale: Gastric lavage PRN. Removing as much of the drug as possible is the first step in treatment for this drug overdose. This is best done by gastric lavage. The next actions to complete would be to administer activated charcoal, then Mucomyst and lastly the IV fluids.
Question 3 of 5
A client is scheduled for a cataract extraction. Preoperatively, 1% atropine is instilled into the client's right eye. The nurse knows that this drug would be contraindicated if the client also had which of the following conditions?
Correct Answer: D
Rationale: Atropine, an anticholinergic, increases intraocular pressure, worsening glaucoma. Bradycardia, hypothyroidism, or diabetes are not contraindications for ocular atropine.
Extract:
Laboratory results
Cholesterol
<200 mg/dL
(5.2 mmol/L)
220 mg/dL
(5.7 mmol/L)
Question 4 of 5
The nurse is collecting data from a client during a routine physical examination. Which of the following findings would be most important to report to the health care provider?
Correct Answer: B
Rationale: Brownish skin thickening on the neck may indicate acanthosis nigricans, associated with insulin resistance or diabetes, requiring prompt reporting.
Extract:
Question 5 of 5
A 1-year-old child who goes to day care is recovering from an episode of otitis media. Which intervention is most important for the nurse to reinforce to the parents in order to prevent recurrence?
Correct Answer: D
Rationale: Parental smoking increases the risk of recurrent otitis media due to secondhand smoke exposure.