NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
The nurse observes a nursing assistant assigned to a client who just returned from having a bronchoscopy. Which action by the nursing assistant would prompt the nurse to intervene?
Correct Answer: B
Rationale: After a bronchoscopy, the client is at risk for airway compromise due to anesthesia or swelling. Offering water before the gag reflex returns can lead to aspiration, requiring intervention.
Question 2 of 5
After assessing the client, the nurse initiates the process for reporting the client's STI to the state health agency. Which client has the STI that the nurse is reporting?
Correct Answer: B
Rationale: A. This illustrates acne vulgaris, which is not an STI. B. This illustrates herpes. While herpes simplex may not necessarily be state reportable, it is an STI. By state law, the incidence of some STIs must be reported to the state. C. This illustrates a contact dermatitis; in this client it was caused by nail polish. D. This illustrates candidiasis or thrush. This is not reportable.
Question 3 of 5
During the first stage of a client's labor, the nurse finds that the fetal heart rate decreases during a contraction and returns to normal at the end of the contraction. Which action is the most appropriate in response to the assessment finding?
Correct Answer: A
Rationale: A temporary fetal heart rate decrease during contractions (early deceleration) is normal, indicating head compression, and requires no action.
Question 4 of 5
The nurse is teaching a client about self-administration of insulin. Which site is most appropriate for insulin injection?
Correct Answer: D
Rationale: The abdomen has consistent subcutaneous tissue and rapid absorption, making it ideal for insulin injections.
Question 5 of 5
The client, admitted to a surgical unit following a TURF, has a C81 running. The nurse assesses the client's urine and finds dark red urine containing several small clots. Which intervention should the nurse implement?
Correct Answer: A
Rationale: A. If the urine is dark red, the flow rate of the CBI should be increased. The purpose of the CBI is to remove clots from the bladder and to ensure drainage of urine through the urinary catheter. The flow rate of the CBI fluid should be set so that the outflow remains free from clots and remains light red to pink. B. Stopping the CBI would increase the risk that the urinary catheter would become blocked and the flow of urine interrupted. C. There is no need to manually irrigate a catheter If a C81 is flowing, unless the urinary catheter becomes obstructed. D. Deflating the urinary catheter balloon would be contraindicated because this could result in dislodging the catheter.