NCLEX-PN
NCLEX PN Practice Questions Questions
Extract:
Question 1 of 5
Triazolam (Halcion) 0.25 mg is ordered for a client at bedtime. When the nurse goes to give the medication, the client asks the nurse to leave it at the bedside because she wants to finish reading a book. What is the best action for the nurse to take?
Correct Answer: B
Rationale: Returning in an hour ensures medication administration while respecting the client's request, adhering to safety protocols. Leaving medication or delaying indefinitely risks errors.
Question 2 of 5
A nursing diagnosis of 'ineffective airway clearance related to pain' is identified for a client who had open abdominal surgery 2 days ago. Which intervention should the nurse implement first?
Correct Answer: A
Rationale: Pain control is the priority to enable effective coughing and airway clearance.
Question 3 of 5
A woman who is 32 weeks gestation comes to her physician's office. Which finding is of most concern to the office nurse?
Correct Answer: C
Rationale: Periorbital swelling at 32 weeks suggests preeclampsia, a serious condition requiring immediate evaluation. Trace glucose, 4-lb weight gain, or ankle edema are less concerning.
Extract:
Laboratory results
Cholesterol
<200 mg/dL
(5.2 mmol/L)
220 mg/dL
(5.7 mmol/L)
Question 4 of 5
The nurse is collecting data from a client during a routine physical examination. Which of the following findings would be most important to report to the health care provider?
Correct Answer: B
Rationale: Brownish skin thickening on the neck may indicate acanthosis nigricans, associated with insulin resistance or diabetes, requiring prompt reporting.
Extract:
Question 5 of 5
A 2 month-old child has had a cleft lip repair. The selection of which restraint would require no further action by the charge nurse?
Correct Answer: A
Rationale: Elbow. The elbow restraint will prevent the child from touching the surgical site without hindering movement of other parts of the body.