NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
The nurse observes an ambulating client begin to experience a tonic-clonic seizure. Which nursing actions should be implemented immediately? Select all that apply.
Correct Answer: A, C, E, F
Rationale: Guiding to the floor (
A), clearing objects (
C), positioning laterally (E), and observing (F) ensure safety.
Tongue blades (
B) are dangerous, and restraining (
D) increases injury risk.
Question 2 of 5
A client is admitted with Parkinson's disease. The client has been taking Carbidopa/levodopa (Sinemet) for 1 year. Which clinical manifestation would be the most important to report?
Correct Answer: B
Rationale: Spasmodic eye winking could indicate a toxicity or overdose and should be reported to the physician. Other signs of toxicity include involuntary twitching of muscles, facial grimaces, and severe tongue protrusion. Answers A, C, and D are incorrect because they are side effects of the drug.
Question 3 of 5
Following an arteriogram, the nurse should give priority to:
Correct Answer: D
Rationale: Checking distal pulses ensures adequate circulation post-arteriogram, as the procedure involves arterial puncture, which can lead to complications like hematoma or thrombosis.
Question 4 of 5
The nurse is talking to a client with rheumatoid arthritis who is reporting increased pain and stiffness of the joints in the morning. The nurse should encourage the client to
Correct Answer: C
Rationale: A warm shower and range-of-motion exercises (
C) reduce morning stiffness and improve mobility. Heating pads (
A) may help but are less comprehensive, high-calorie meals (
B) are irrelevant, and NSAIDs (
D) may not address stiffness immediately.
Question 5 of 5
An adult is scheduled for a total laryngectomy. When preparing the client for surgery, it is essential for the nurse to take which of the following actions?
Correct Answer: C
Rationale: A laryngectomy removes the voice box, requiring alternative communication; assessing literacy ensures post-op communication via writing, critical for care planning.