NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse must irrigate a gaping abdominal incision with sterile normal saline, using a piston syringe. How should the nurse proceed?
Correct Answer: A
Rationale:
To wash away tissue debris and drainage effectively, the nurse should irrigate the wound until the solution becomes clear or all of the solution has been used. After the irrigation, the nurse should dry the area around the wound; moistening it promotes microorganism growth and skin irritation. When the area is dry, the nurse should apply a sterile dressing, rather than a wet-to-dry dressing. The nurse always should instill the irrigating solution gently; rapid or forceful instillation can damage tissues.
Question 2 of 5
An adult has injured her ankle and asks her neighbor, a nurse, for assistance. The ankle appears swollen, and the client cannot move it without severe pain. Before arranging transport to the emergency room, which action by the nurse would be most appropriate?
Correct Answer: B
Rationale: Elevation reduces swelling and pain in an acute ankle injury, preparing for safe transport to the ER.
Question 3 of 5
A client with end-stage renal disease received a renal transplant 2 weeks ago. Which of the following is an early sign of rejection of the transplant?
Correct Answer: B
Rationale: Early signs of renal transplant rejection include tenderness over the graft site, fever, and decreased urine output due to impaired kidney function. Increased urinary output is not associated with rejection, and while hypertension may occur, it is not a specific early sign.
Question 4 of 5
A patient with post-traumatic stress disorder (PTSD) is experiencing flashbacks. Which of the following interventions should the nurse implement?
Correct Answer: B
Rationale: A safe, calm environment reduces flashback intensity and promotes grounding. Avoiding discussion delays therapy, trigger exposure requires controlled settings, and isolation worsens symptoms.
Extract:
A male, Hispanic client with history of excessive 'alcohol-drinking', was admitted with a diagnosis of recurrent pancreatitis. On admission, the client was complaining of unbearable pain.
Question 5 of 5
The nurse
Correct Answer: A
Rationale: Demerol is preferred for pancreatitis pain to avoid sphincter of Oddi spasm associated with morphine.