NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
Which prescriptions for these clients does the nurse question? Select all that apply.
Correct Answer: D,E
Rationale: Metoprolol is contraindicated with a BP of 94/40 mm Hg due to risk of worsening hypotension. Ampicillin, a penicillin derivative, is unsafe for a client with a penicillin allergy. Vancomycin, lispro insulin, and pantoprazole are appropriate for the respective conditions.
Question 2 of 5
The nurse is to administer a tube feeding to an adult. What action is essential before administering the feeding?
Correct Answer: B
Rationale: Checking tube placement (e.g., pH testing, aspiration) prevents aspiration by ensuring the tube is in the stomach. Other actions are irrelevant or unsafe.
Question 3 of 5
A nurse is caring for a 2-year-old with a new diagnosis of strabismus. Which intervention should the nurse anticipate?
Correct Answer: D
Rationale: Patching the unaffected eye strengthens the weaker eye in strabismus by forcing its use, a common non-surgical treatment in children. Laser surgery is not typically used, eye drops are irrelevant, and intraocular pressure measurement is for glaucoma, not strabismus.
Question 4 of 5
The role of the incident report in risk management is:
Correct Answer: B
Rationale: Incident reports collect data to analyze and prevent future issues, enhancing safety. They are not for liability protection or staff discipline. Safety and Infection Control
Question 5 of 5
A 55-year-old male client has a 16-Fr indwelling urethral catheter with a 5-mL balloon inserted to relieve postoperative urinary retention. The nurse observes urine leaking from the insertion site, past the catheter. What is the nurse's first action?
Correct Answer: A
Rationale: Checking the catheter and tubing first ensures there are no kinks, blockages, or improper placements causing the leak, which is a non-invasive and logical initial step. Irrigation or removal requires further assessment, and notifying the RN is premature without initial troubleshooting.