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PN NCLEX Practice Exam Questions

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Question 1 of 5

The nurse is talking with a client who has type 1 diabetes mellitus and is receiving newly prescribed continuous subcutaneous insulin infusion therapy via an infusion pump. Which of the following statements by the client would indicate a correct understanding of the therapy?

Correct Answer: C

Rationale: Insulin pumps (
C) provide steady insulin delivery, improving glucose stability. Glucose monitoring (
A) and bolus doses (
B) are still needed, and infusion sets are changed every 2-3 days, not daily (
D).

Question 2 of 5

Which of the following situations is most likely to produce sepsis in the neonate?

Correct Answer: B

Rationale: Prolonged rupture of membranes. Premature rupture of the membranes (PROM) is a leading cause of newborn sepsis. After 12-24 hours of leaking fluid, measures are taken to reduce the risk to mother and the fetus/newborn.

Question 3 of 5

A 15-month-old continually turns his cup upside down and shakes milk from the spout. The mother is convinced that he does this on purpose and asks the nurse what she should do. The nurse's response should be guided by the knowledge that:

Correct Answer: D

Rationale:
Toddlers explore spatial relationships through actions like shaking a cup, not necessarily to misbehave. Attention-seeking or punishment is less relevant.

Question 4 of 5

The nurse in the emergency department is caring for a client who has facial lacerations, a suspected fracture of the arm, and multiple bruises at various stages of healing. The client's spouse is at the bedside and appears angry. Which of the following actions would be a priority for the nurse take?

Correct Answer: B

Rationale: Multiple bruises at various stages suggest possible abuse, so talking privately with the client (
B) is the priority to assess safety. Social services (
A) may follow, but immediate safety assessment comes first. Treating injuries (C,
D) is secondary.

Question 5 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.

Similar Questions

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A client hospitalized with severe depression and suicidal ideation refuses to talk with the nurse. The nurse recognizes that the suicidal client has difficulty:
The nurse is caring for a client with suspected acute rheumatic fever. Which of the following questions would be most important for the nurse to ask the client?
The nurse is preparing to administer a scheduled vaccine to a pediatric client with hemophilia. Which of the following actions should the nurse take? Select all that apply.

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