NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
Which nursing action best determines if a client has a fecal impaction?
Correct Answer: D
Rationale: A digital rectal exam directly confirms the presence of hard, impacted stool in the rectum.
Question 2 of 5
A pregnant client with known human immunodeficiency virus (HIV) infection is admitted to the hospital in active labor. Which method of fetal assessment is most appropriate?
Correct Answer: C
Rationale: External fetal monitoring is non-invasive, minimizing HIV transmission risk during labor compared to invasive methods.
Question 3 of 5
The client, admitted to a surgical unit following a TURF, has a C81 running. The nurse assesses the client's urine and finds dark red urine containing several small clots. Which intervention should the nurse implement?
Correct Answer: A
Rationale: A. If the urine is dark red, the flow rate of the CBI should be increased. The purpose of the CBI is to remove clots from the bladder and to ensure drainage of urine through the urinary catheter. The flow rate of the CBI fluid should be set so that the outflow remains free from clots and remains light red to pink. B. Stopping the CBI would increase the risk that the urinary catheter would become blocked and the flow of urine interrupted. C. There is no need to manually irrigate a catheter If a C81 is flowing, unless the urinary catheter becomes obstructed. D. Deflating the urinary catheter balloon would be contraindicated because this could result in dislodging the catheter.
Question 4 of 5
After being off for the holiday, a nurse returns to work and attempts to log on to the computer to document care for a client. The nurse tries to log on, but both times the computer will not grant access. The nurse rechecks the password and finds it correct. Which action by the nurse is most appropriate in this circumstance?
Correct Answer: C
Rationale: Calling technical support ensures the issue is resolved appropriately without compromising security or documentation integrity.
Question 5 of 5
A nurse massages the uterus of a postpartum client. Which assessment finding best indicates that the intended effect of this nursing action has been achieved?
Correct Answer: B
Rationale: Uterine massage prevents postpartum hemorrhage by promoting uterine firmness (contraction), indicating effective action.