NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
Which interventions does the nurse perform to promote normal rest and sleep patterns for a critically ill client? Select all that apply.
Correct Answer: A, C, D
Rationale: Dimming lights (
A), opening blinds in the morning (
C), and scheduling activities during the day (
D) promote circadian rhythms and rest. Leaving the TV on (
B) may disrupt sleep, and turning off alarms (E) compromises safety.
Question 2 of 5
The nurse is preparing to obtain a urine specimen for culture and sensitivity from a client who has an indwelling urinary catheter that was inserted 2 days ago. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Using a sterile syringe at the specimen port (
A) ensures a clean sample. Balloon port (
B), drainage bag (
C), or 24-hour collection (
D) risk contamination.
Question 3 of 5
A very tall, heavy-set man is admitted. The nurse is taking vital signs. Which statement is correct concerning taking the blood pressure?
Correct Answer: C
Rationale: An extra-large cuff ensures accurate blood pressure measurement in large individuals; a standard cuff falsely elevates readings. Adjusting readings or lying down is unnecessary.
Question 4 of 5
A client just diagnosed with methicillin-resistant Staphylococcus aureus septic arthritis is receiving the first dose of IV vancomycin. Which finding is most concerning to the nurse?
Correct Answer: D
Rationale: Wheezing and hives (
D) indicate a possible anaphylactic reaction, the most concerning finding. Muscle pain (
A), flushing/pruritus (
B), and low blood pressure (
C) are less immediately life-threatening.
Question 5 of 5
The nurse is teaching a newly diagnosed asthma client on how to use a peak flow meter. The nurse explains that this should be used to
Correct Answer: B
Rationale: The peak flow meter is used to measure peak expiratory flow volume. It provides useful information about the presence and/or severity of airway obstruction.