NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
Which of the following interventions is most helpful in determining the need for oxygen therapy for a client with COPD?
Correct Answer: D
Rationale: Pulse oximetry objectively measures oxygen saturation, guiding the need for oxygen therapy in COPD. Subjective reports and hemoglobin levels are less direct.
Question 2 of 5
According to the ANA Code of Ethics for Nurses, professional nurses have an ethical obligation to:
Correct Answer: D
Rationale: The ANA Code of Ethics encompasses obligations to clients, the profession, and delivering high-quality care, ensuring comprehensive ethical practice. Coordinated Care
Question 3 of 5
The nurse is caring for a client who is scheduled for surgery in 2 hours and is reporting anxiety and shortness of breath. The client has a heart rate of 110/min and respiratory rate of 24/min. Which of the following actions would be a priority for the nurse to take?
Correct Answer: B
Rationale: Placing the client in Fowler or high Fowler position improves lung expansion and oxygenation, addressing shortness of breath and tachycardia caused by anxiety or potential respiratory distress. Lorazepam requires a prescription, bronchodilators are not indicated without wheezing, and reassurance alone does not address physical symptoms.
Question 4 of 5
The client's lab culture report is negative for a suspected infection. A test that can correctly identify those who do not have a given disease is:
Correct Answer: A
Rationale: A specific test accurately identifies those without the disease (true negatives). Sensitivity identifies those with the disease. The other terms are unrelated to test performance. Safety and Infection Control
Question 5 of 5
A client with chronic kidney disease has an arteriovenous fistula placed in the left wrist for hemodialysis. Which of the following statements indicate that the client understands how to care for the fistula properly? Select all that apply.
Correct Answer: B,D,E
Rationale: Avoiding sleeping on the arm prevents pressure on the fistula, squeezing a sponge promotes circulation, and feeling for a thrill ensures patency. Numbness/tingling requires evaluation, and blood pressure should be taken on the opposite arm to avoid fistula damage.