NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
What are the priorities when planning the care of a 75-year-old hospitalized client who develops pneumonia? Select all that apply.
Correct Answer: B,E,F
Rationale: Maintaining oxygenation addresses hypoxia, a critical issue in pneumonia. Administering antibiotics promptly and obtaining blood cultures ensure timely treatment and accurate diagnosis.
Question 2 of 5
If a known substance abuser presents to the emergency department with tachycardia and chest pain, what is the most appropriate question for the nurse to ask?
Correct Answer: A
Rationale: Cocaine is most likely to cause tachycardia and chest pain due to its stimulant effects, making this the most relevant question.
Question 3 of 5
The nurse is planning care for the female client, who is newly diagnosed with herpes simplex virus type 2 (HSV-2, herpes genitalis). In which order should the nurse complete the planned actions? Place the nurse's planned actions in order of priority.
Order the Items
Source Container
Correct Answer: B,D,E,A,C
Rationale: B. Determine if the woman is pregnant. This is priority because medications can be teratogenic, presenting a substantial risk to the developing fetus. D. Administer an analgesic. Measures are needed to promote comfort. Itching, pain, macules, and papules occur initially with HSV-2. The infection can progress to vesicles and ulcers and can involve the labia, cervix, and vaginal and perianal areas. E. Administer the first dose of acyclovir (Zovirax). An antiviral medication is needed to treat the infection. A. Teach abstinence from sexual intercourse during treatment and use of condoms. The woman is unlikely to be receptive to teaching until some degree of comfort is achieved. C. Discuss the benefits of joining a support group such as HELP (Herpetics Engaged in Living Productively). There is no cure for HSV-2 infection.
Question 4 of 5
Which nursing intervention is most appropriate for meeting the needs of an infant with congenital heart disease?
Correct Answer: A
Rationale: Responding quickly to crying minimizes stress and oxygen demand in an infant with congenital heart disease.
Question 5 of 5
A 75-year-old client has a perineal prostatectomy for prostate cancer. Which nursing action is essential to include in the client's care plan?
Correct Answer: D
Rationale: Perineal care after bowel movements prevents infection at the surgical site, a critical post-prostatectomy action.