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PN NCLEX Practice Exam Questions

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Question 1 of 5

Which of the following herbal supplements pose an increased risk for bleeding in surgical clients and should be discontinued prior to major surgery? Select all that apply.

Correct Answer: B,C,D

Rationale: Garlic (
B), ginger (
C), and ginkgo biloba (
D) have antiplatelet effects, increasing bleeding risk. Black cohosh (
A) and hawthorn (E) do not significantly affect bleeding.

Question 2 of 5

The practical nurse (PN) is assisting with a client who is undergoing labor induction with misoprostol. The PN notes late decelerations and minimal variability on the fetal heart rate monitor. After notifying the registered nurse, what should the PN do first?

Correct Answer: D

Rationale: Repositioning to a side-lying position (
D) improves placental perfusion, addressing late decelerations. Oxygen (
A) may follow, but repositioning is first. Perineal exam (
B) and palpation (
C) are less urgent.

Question 3 of 5

A parent tells the nurse that their 6 year-old child who normally enjoys school, has not been doing well since the grandmother died 2 months ago. Which statement most accurately describes thoughts on death and dying at this age?

Correct Answer: A

Rationale: Death is personified as the bogeyman or devil. Personification of death is typical of this developmental level.

Question 4 of 5

The home health nurse is providing long-term care to several clients. Which are examples of inappropriately crossing professional boundaries? Select all that apply.

Correct Answer: A,D,E

Rationale: Accepting expensive gifts (
A), soliciting investments (
D), and socializing with alcohol (E) violate professional boundaries. Offering to pray (
B) is acceptable if client-initiated, and a sympathy card (
C) is appropriate.

Question 5 of 5

The nurse is planning care for an 11-year-old child with attention deficit hyperactivity disorder who is hospitalized for surgical treatment of a fractured femur. What is the priority nursing action?

Correct Answer: A

Rationale: A structured environment (
A) supports ADHD management by reducing overstimulation and providing predictability, critical for a hospitalized child. Written schedules (
B) and verbal explanations (
C) are secondary, and restricting visitors (
D) is unnecessary.

Similar Questions

The nurse has taught the parents of a 6-year-old client with nephrotic syndrome. Which of the following statements by the parents would require follow-up?
The nurse is caring for a client who is receiving antibiotic therapy and develops Clostridioides difficile colitis. Which of the following infection-control precautions should the nurse implement? Select all that apply.
The nurse is assessing a child with suspected lead poisoning. Which of the following assessments is the nurse most likely to find?
The nurse is preparing to irrigate the wound of a 7-year-old client who sustained a laceration while on a playground. Which of the following actions should the nurse take? Select all that apply.
A client who is 2 days post-operative from an appendectomy requests medication for pain. The client's vital signs are as follows: pulse 96, respirations 30, BP 130/92. The nurse should:

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