NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Question 1 of 5
The student nurse verbalizes the procedure for obtaining a wound culture to the nurse preceptor. Which of the following statements by the student indicate a correct understanding?
Correct Answer: B,D
Rationale: Cleansing the wound with normal saline (
B) removes contaminants, and hand hygiene with gloves (
D) ensures sterility. Applying ointment before the culture (
A) could contaminate the sample. Swabbing from the outermost margin to the center (E) risks contaminating the sample with skin flora; the correct method is to swab the cleanest area first. Obtaining drainage since the last dressing change (
C) may not target active infection.
Question 2 of 5
The nurse is preparing to take a toddler's blood pressure for the first time. Which of the following actions should the nurse perform first?
Correct Answer: D
Rationale: Permit handling the equipment before putting the cuff in place. The best way to gain the toddler's cooperation is to encourage handling the equipment. Detailed explanations are not helpful.
Question 3 of 5
The best position for the client with a right total hip replacement is:
Correct Answer: C
Rationale: Supine with pillows supporting the leg prevents dislocation while maintaining alignment. Flexion or adduction risks complications.
Question 4 of 5
The nurse is reinforcing discharge instructions for several clients. Which client should receive information about the need for prophylactic antibiotics prior to dental procedures?
Correct Answer: A
Rationale: Mechanical valve replacements (
A) require prophylactic antibiotics before dental procedures to prevent endocarditis. Mitral valvuloplasty (
B), heart failure (
C), and mitral valve prolapse with regurgitation (
D) have lower risks.
Question 5 of 5
A client admitted to the floor 3 days after a bowel resection suddenly develops chest pain and shortness of breath. Assessment of the client reveals rales, BP 160/40, and severe tachycardia. The nurse's first action should be to:
Correct Answer: C
Rationale: The symptoms suggest a pulmonary embolus, a medical emergency. Placing the client in high Fowler's position facilitates breathing. Oxygen is secondary, chest compressions are inappropriate without cardiac arrest, and sedatives could worsen respiratory distress.