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PN NCLEX Practice Exam Questions

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Question 1 of 5

The nurse is talking with a group of parents about puberty. The nurse should include that the first sign of puberty in clients of the male sex is

Correct Answer: C

Rationale: Testicular enlargement (
C) is the first sign of puberty in males, occurring before height increase (
A), muscle mass gain (
B), or penile growth (
D).

Question 2 of 5

A nurse is caring for an elderly client who had a colectomy for removal of cancer 2 days ago. The client is becoming increasingly restless and has been given IV morphine every 2 hours for severe pain. Respirations are 28/min and shallow. Which arterial blood gas results best indicate that the client is in acute respiratory failure and needs immediate intervention?

Correct Answer: A

Rationale: PaO2 < 50 mm Hg and PaCO2 > 50 mm Hg (
A) indicate acute respiratory failure, requiring immediate intervention. Other options show less severe hypoxemia or normal values.

Question 3 of 5

The nurse is caring for a 10-year-old client with sickle cell disease who is experiencing an episode of acute pain. Which of the following diversional activities would be appropriate for the nurse to offer the client?

Correct Answer: B

Rationale: Reading a book (
B) is a calm, stationary activity suitable for pain management. Puzzles (
A) may require movement, walking (
C) could worsen pain, and puppets (
D) may be too childish for a 10-year-old.

Question 4 of 5

While admitting a client to an acute-care psychiatric unit, the nurse asks about substance abuse based on knowledge that:

Correct Answer: B

Rationale: The failure to address substance abuse among clients with psychiatric disorders interferes with treatment effectiveness and contributes to relapse. Misdiagnosis of a psychiatric disorder, suboptimal pharmacological treatment, neglect of appropriate interventions, or an inappropriate referral might also occur.

Question 5 of 5

An 87-year-old client has been admitted to the hospital with signs and symptoms of a urinary tract infection along with agitation, confusion, and disorientation to time and place. What is the most important nursing action?

Correct Answer: C

Rationale: One-on-one supervision (
C) ensures safety for a confused, agitated client at risk for falls or harm. Fluids (
A), side rails (
B), and dim lights (
D) are secondary or inappropriate.

Similar Questions

The nurse is reinforcing teaching about infant safety to a class of expectant parents. Which statement by a participant indicates a need for further instruction?
The nurse is caring for a 12 year-old with an acute illness. Which of the following indicates the nurse understands common sibling reactions to hospitalization?
The nurse prepares to administer a cleansing enema to a client with constipation. Which interventions are appropriate? Select all that apply.
The nurse is caring for a pregnant woman with pregnancy induced hypertension (PIH) receiving magnesium sulfate intravenously. In assessing the client, it is noted that respirations are 12, pulse and blood pressure have dropped significantly, and 8 hour output is 200 ml. What should the nurse do first?
The nurse is reviewing the medication administration record for a 70-year-old client. Which of the following prescribed medications places the client at increased risk for injury? Select all that apply.

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