NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
When applying nitroglycerin ointment to a client's chest, which nursing technique is most appropriate?
Correct Answer: A
Rationale: Squeezing a ribbon of ointment onto an applicator paper ensures accurate dosing and prevents contamination or overuse.
Question 2 of 5
When instructing a postoperative client about the use of enoxaparin (Lovenox), the nurse should include which statement about the drug's therapeutic action?
Correct Answer: D
Rationale: Enoxaparin is an anticoagulant that prevents new blood clots from forming, reducing the risk of thromboembolism.
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
If the physician orders 'diet as tolerated' for a client the evening of surgery, which diet is most appropriate initially?
Correct Answer: C
Rationale: A clear liquid diet is easiest to digest and minimizes gastrointestinal stress, making it appropriate to start post-surgery.
Question 5 of 5
The clinic nurse is reviewing the history of the client diagnosed with bacterial vaginosis (BV). Which identified disorder places the client at a higher risk of developing BV?
Correct Answer: D
Rationale: A. Gastroesophageal reflux disorder is not a risk factor for BV. B. Hypothyroidism does affect the reproductive system. However, it does not specifically alter the pH of the vagina, which could increase the incidence of BV. C. Cardiovascular disease is not a risk factor for BV. D. Diabetes is a risk factor for a variety of vulvovaginal infections.