NCLEX-PN
NCLEX PN Practice Test Questions
Extract:
Question 1 of 5
To maintain Bryant's traction, the nurse must make certain that the child's:
Correct Answer: B
Rationale: Bryant's traction requires hips slightly elevated and legs at a right angle to the bed to align the femur properly and reduce pressure on the pelvis.
Question 2 of 5
The doctor has ordered two medications to be given intramuscularly. The nurse should:
Correct Answer: C
Rationale: The nurse must check if the medications are compatible for combination in one syringe to minimize injections. Administering separately without checking or in specific sites is premature.
Question 3 of 5
A young adult is admitted with a possible head injury. The car in which he was riding hit a utility pole, and the client's head hit the windshield. Baseline vital signs are BP=112/74, P=80, and R=12. The nurse checks the client an hour after admission. Which finding(s) are significant and should be reported to the charge nurse or physician immediately? Select all that apply.
Correct Answer: C,D
Rationale: Slow respirations (8) and projectile vomiting suggest increased intracranial pressure, critical in head injury, requiring immediate reporting. BP, pulse, skin, and pupil response changes are less urgent.
Question 4 of 5
When planning care for a woman who is admitted in labor, it is most important for the nurse to obtain which of the following information about the client?
Correct Answer: B
Rationale: Contraction frequency and duration indicate labor progress and urgency, guiding immediate care. Age, due date, membrane status, and support persons are secondary.
Question 5 of 5
The male client had a hemicolectomy. The client is refusing to wear the prescribed sequential compression devices (SCDs). What is most important for the nurse to communicate to the client?
Correct Answer: B
Rationale: SCDs prevent deep vein thrombosis (DVT) post-surgery, a potentially fatal complication. Communicating the risk of complications, including death (
B), is critical to emphasize the importance of compliance. Signing a refusal form (
A), billing (
C), or informing the surgeon (
D) are secondary to ensuring the client understands the serious risks.