NCLEX-PN
NCLEX PN Practice Test Questions
Extract:
Question 1 of 5
Which instruction should be given to a client taking Lugol's solution prior to a thyroidectomy?
Correct Answer: B
Rationale: Lugol's solution (iodine) should be taken with juice to mask its taste and reduce gastric irritation. Taking it at bedtime , reporting appetite changes , or avoiding sunshine are not specific to this medication.
Question 2 of 5
A client has been hospitalized after an automobile accident. A full leg cast was applied in the emergency room. The most important reason for the nurse to elevate the casted leg is to
Correct Answer: D
Rationale: Elevating the leg both improves venous return and reduces swelling. Client comfort will be improved as well.
Question 3 of 5
The nurse is performing rounding on clients in restraints. Which situation would require immediate intervention by the nurse?
Correct Answer: D
Rationale: A vest restraint in the high-Fowler position (
D) poses a risk of strangulation or asphyxiation due to the restraint slipping upward, requiring immediate intervention. Belt restraint in semi-Fowler (
A), mitten restraints in side-lying (
B), and wrist restraints in supine (
C) are safer positions, assuming proper application and monitoring.
Question 4 of 5
At a nursing staff meeting, there is discussion of perceived inequities in weekend staff assignments. As a follow-up, the nurse manager should initially
Correct Answer: D
Rationale: Facilitate creative thinking on staffing. The 'moving phase' of change involves viewing the problem from a new perspective, and then incorporating new and different approaches to the problem. The manager, as a change agent, can facilitate staff's solving the problem.
Question 5 of 5
The nurse is observing a client with an obsessive-compulsive disorder in an inpatient setting. Which behavior is consistent with this diagnosis?
Correct Answer: A
Rationale: Behaviors that are repeated are symptomatic of obsessive-compulsive disorders. These behaviors, performed to reduce feelings of anxiety, often interfere with normal function and employment.