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PN NCLEX Practice Exam Questions

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Question 1 of 5

Which of the following are violations of the Health Insurance Portability and Accountability Act regarding confidentiality of privileged health information? Select all that apply.

Correct Answer: A,C,D

Rationale: Sharing pregnancy results without consent (
A), calling names publicly (
C), and disclosing a diagnosis to non-care staff (
D) violate HIPAA. Overhearing through a curtain (
B) is unintentional, and a general farewell (E) is not a violation.

Question 2 of 5

The nurse has attended a staff education program about administering intramuscular injections. Which of the following statements by the nurse would indicate a correct understanding of the program?

Correct Answer: D

Rationale: Displacing subcutaneous tissue (
D) via the Z-track method prevents leakage and irritation. IM injections use a 90-degree angle (A is incorrect), waiting 3 seconds (
B) is not standard, and massaging (
C) is avoided for some medications.

Question 3 of 5

A nursing advocate is one who:

Correct Answer: B

Rationale: Nurse advocates work with clients to provide information and assistance is decision-making. The decisions and care that occur from these decisions are based on the right of the client to self-determination.

Question 4 of 5

The nurse is caring for a 10-year-old client with sickle cell disease who is experiencing an episode of acute pain. Which of the following diversional activities would be appropriate for the nurse to offer the client?

Correct Answer: B

Rationale: Reading a book (
B) is a calm, stationary activity suitable for pain management. Puzzles (
A) may require movement, walking (
C) could worsen pain, and puppets (
D) may be too childish for a 10-year-old.

Question 5 of 5

The nurse is preparing to administer a scheduled vaccine to a pediatric client with hemophilia. Which of the following actions should the nurse take? Select all that apply.

Correct Answer: C,E

Rationale: Firm pressure for 5 minutes (
C) and using a small, short needle (E) minimize bleeding in hemophilia. Ibuprofen (
A) increases bleeding risk, warm compresses (
B) may worsen bleeding, and massage (
D) can cause hematoma.

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