NCLEX Questions, NCLEX PN Test Questions Questions, NCLEX-PN

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Question 1 of 5

While caring for the client during the first hour after delivery, the nurse determines that the uterus is boggy and there is vaginal bleeding. What should be the nurse's first action?

Correct Answer: B

Rationale: Massage the fundus. The nurse's first action should be to massage the fundus until it is firm, as uterine atony is the primary cause of bleeding in the first hour after delivery.

Question 2 of 5

The nurse answers a call light on a client not assigned to the nurse. The client, who was just admitted from the emergency department, requests a cup of coffee. What is the appropriate intervention?

A. Allow a family member to bring the client a cup of coffee from the cafeteria B. Ask the client to wait until the health care provider's (HCP's) prescriptions can be verified C. Delegate the task to the unlicensed assistive personnel (UAP) assigned to the client D. Suggest water instead until admission assessment can be completed

Correct Answer: D

Rationale: Suggesting water (
D) is safe until dietary orders are confirmed. Coffee (A,
C) may be contraindicated, and waiting (
B) doesn't address the request.

Question 3 of 5

The pediatric nurse cares for a 16-year-old client who is scheduled for an appendectomy in the morning. Which of the following interventions are appropriate to support the client's psychosocial needs?

A. Create a strict daily schedule for the client while hospitalized B. Encourage the client to have peers visit while hospitalized C. Ensure parental presence during any client procedure D. Include the client as an active participant when planning care E. Support the client in discussing concerns about body image changes

Correct Answer: B,D,E

Rationale: Peer visits (
B), active participation (
D), and addressing body image (E) support a teen's psychosocial needs. Strict schedules (
A) reduce autonomy, and parental presence (
C) may not align with the teen's preferences.

Question 4 of 5

There has been a large-scale community disaster and clients must be roomed together at the hospital. Who are appropriate roommates in light of infection risk principles?

A. A client diagnosed with varicella and a client with pertussis B. A client placed in an airborne infection isolation room (AIIR) and a client with heart failure C. A client receiving chemotherapy and a client with chronic obstructive pulmonary disease (COPD) coughing yellow sputum D. A client with pelvic inflammatory disease (PID) and a client with coffee ground emesis E. Two clients diagnosed with tuberculosis

Correct Answer: D

Rationale: PID and coffee ground emesis (
D) are non-infectious, making them suitable roommates. Varicella, pertussis, TB (A, E), and COPD with sputum (
C) pose infection risks. AIIR (
B) is for airborne infections, incompatible with heart failure.

Question 5 of 5

The nurse is reinforcing instructions about the use of regular and neutral protamine Hagedorn (NPH) insulin. Which statement by the client indicates that further instruction is needed?

A. I will always check my blood glucose prior to using the sliding scale. B. I will eat breakfast 30 minutes after taking my morning NPH and regular insulin. C. I will use a new insulin syringe each time I give myself an injection. D. I will use the sliding scale to determine my NPH dose 4 times a day.

Correct Answer: B

Rationale: Eating 30 minutes after NPH and regular insulin (
B) risks hypoglycemia, as regular insulin acts within 30 minutes. Checking glucose (
A), using new syringes (
C), and sliding scale for regular insulin (
D) are correct.

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