NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Question 1 of 5
The physician has ordered dressings with sulfamylon cream for a client with full thickness burns of his hands and arms. Before dressing changes, the nurse should give priority to:
Correct Answer: A
Rationale: Sulfamylon dressing changes are painful, so administering pain medication is the priority. Urinary output , blood count , and glucose are important but secondary.
Question 2 of 5
A client scheduled for a computerized axial tomography (CAT) using a contrast medium scan of the brain should be assessed for:
Correct Answer: B
Rationale: Contrast medium often contains iodine, so assessing for iodine sensitivity prevents allergic reactions. Claustrophobia, liver function, and implants are secondary concerns.
Question 3 of 5
The nurse has performed the initial assessments of 4 clients admitted with an acute episode of asthma. Which assessment finding would cause the nurse to call the provider immediately?
Correct Answer: B
Rationale: Acute asthma is characterized by expiratory wheezes caused by obstruction of the airways. Sudden cessation of wheezing is an ominous sign that indicates an emergency -- the small airways are now collapsed.
Question 4 of 5
The practical nurse (PN) is assisting with care for a 1-day-old client who is irritable, feeding poorly, and only sleeping for very short intervals. The newborn's mother has been taking hydrocodone on a regular basis for several years. When collaborating with the registered nurse to develop the plan of care, which intervention should the PN include?
Correct Answer: D
Rationale: Swaddling and rocking (
D) soothe a newborn with neonatal abstinence syndrome due to maternal hydrocodone use. Pacifiers (
A) are helpful, supine positioning (
B) is for safety but not soothing, and stimulation (
C) may worsen irritability.
Question 5 of 5
The nurse is reinforcing teaching on self-administering ophthalmic lubricating ointment medication to a client with newly diagnosed Sjogren's syndrome. Which client statement indicates the need for further teaching?
Correct Answer: A
Rationale: Rubbing the eyes after applying ointment (
A) can cause irritation or displace the medication, indicating a need for further teaching. The other statements (B, C,
D) reflect correct administration techniques.