NCLEX-PN
PN NCLEX Practice Test Questions
Extract:
Question 1 of 5
The nurse monitors a child who has been treated for an acute asthma exacerbation. Which finding is the best indicator that treatment has been effective?
Correct Answer: B
Rationale: Absence of wheezes indicates open airways, the primary goal of asthma treatment. Reduced coughing and improved oxygen saturation are positive but less specific than clear lungs.
Question 2 of 5
The nurse is suctioning an adult's tracheostomy tube. What action is essential before starting to suction the client?
Correct Answer: B
Rationale: Pre-oxygenation with high oxygen levels prevents hypoxia during tracheostomy suctioning, critical for patient safety, unlike water, consents, or communication aids.
Question 3 of 5
An adult client who had a cervical laminectomy is returned to her room on the nursing care unit. The postanesthesia nurse reports that the client is awake and has stable vital signs. The nurse should position the client in which of the following positions?
Correct Answer: C
Rationale: Side-lying position promotes comfort and maintains spinal alignment post-cervical laminectomy, reducing strain on the surgical site. Supine or prone positions may increase pressure on the neck, and semi-reclining is less optimal for spinal stability.
Question 4 of 5
The nurse is assisting with the care of a newborn during circumcision. Which intervention is appropriate?
Correct Answer: D
Rationale: Wrapping the upper body keeps the newborn warm and secure during circumcision. Sterile technique is required, snug diapers risk irritation, and feeding during the procedure poses a choking risk.
Question 5 of 5
The nurse is reinforcing teaching for a client who is a college athlete and was recently diagnosed with moderate persistent asthma. The nurse should instruct the client to avoid
Correct Answer: D
Rationale: Secondhand smoke is a known asthma trigger, exacerbating symptoms. Penicillin, talc, and strenuous activity are not primary asthma triggers, though activity may require premedication with bronchodilators.