NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Question 1 of 5
Which of these clients, all of whom have the findings of a board-like abdomen, would the nurse suggest that the provider examine first?
Correct Answer: A
Rationale: An elderly client who stated, 'My awful pain in my right side suddenly stopped about 3 hours ago.' This client has the highest risk for hypovolemic and septic shock since the appendix has most likely ruptured, based on the history of the pain suddenly stopping over three hours ago. Elderly clients have less functional reserve for the body to cope with shock and infection over long periods. The others are at risk for shock also, however given that they fall in younger age groups, they would more likely be able to tolerate an imbalance in circulation. A common complication of falling off a bicycle is hitting the handle bars in the upper abdomen often on the left, resulting in a ruptured spleen.
Question 2 of 5
A housekeeping employee tells the staff nurse of having a headache and asks for acetaminophen. How should the nurse respond?
Correct Answer: D
Rationale: Nurses cannot dispense medications without a prescription (A,
B). Checking blood pressure (
C) is irrelevant. Referring to a provider (
D) ensures proper evaluation and treatment.
Question 3 of 5
Prior to administering a feeding, the nurse checks for placement of a feeding tube. What is the best way to do this?
Correct Answer: B
Rationale: Measuring the pH of aspirated fluid (pH <5.5) confirms gastric placement, the most reliable method to prevent aspiration.
Question 4 of 5
The nurse is caring for a child newly diagnosed with cystic fibrosis. What interventions does the nurse expect to be included in the client's multidisciplinary plan of care?
Correct Answer: A,B,E
Rationale: Chest physiotherapy (
A) clears mucus, genetic counseling (
B) addresses hereditary aspects, and spiritual support (E) aids coping. A high-calorie diet, not low-calorie (
C), is needed for nutrition. Fluid restriction (
D) is inappropriate, as hydration is encouraged.
Question 5 of 5
A 56-year-old client who had a complete hysterectomy 8 months ago is admitted for opiate detoxification. The second day after admission, the client complains of abdominal cramping and sweating. What is the nurse's best response?
Correct Answer: D
Rationale: Abdominal cramping and sweating are withdrawal symptoms during opiate detoxification, requiring comfort measures and reassurance.