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PN NCLEX Practice Exam Questions

Question 1 of 5

The nurse is caring for a client who was recently prescribed methadone for chronic, severe back pain. The client indicates taking extra tablets in the last 6 hours when the pain recurred. Which findings during discharge require the client to be monitored longer in the hospital setting? Select all that apply.

Correct Answer: A,C,D

Rationale: Falling asleep (
A), vomiting (
C), and premature ventricular contractions (
D) indicate possible methadone overdose or toxicity, requiring extended monitoring. Pruritus (
B) is a common side effect, and 92% oxygen saturation (E) is not critical.

Question 2 of 5

The nurse is caring for a client with increased intracranial pressure (ICP). Which statement by the unlicensed assistive personnel would require immediate intervention by the nurse?

Correct Answer: A

Rationale: Raising the head of the bed (
A) without medical guidance can alter ICP dangerously. Dimming lights (
B), moving belongings (
C), and breathing exercises (
D) are generally safe or neutral.

Question 3 of 5

A woman who had a tuberculosis test three days ago reports to the nurse to have the test read. Which finding, if present, indicates a positive result and a need for referral and follow-up?

Correct Answer: B

Rationale: A raised (indurated) area >10 mm indicates a positive TB skin test, requiring follow-up for potential latent or active TB.

Question 4 of 5

The nurse is observing a staff member talking with the parent of a pediatric client. The parent is crying and states, 'I do not know what to do about this situation with my child.' The staff member responds, 'I am sure you will do the right thing.' The nurse should recognize that the staff member's response

Correct Answer: C

Rationale: The response (
C) dismisses the parent's distress and provides false reassurance, lacking empathy. It does not express interest (
A), respect privacy (
B), or convey empathy (
D).

Question 5 of 5

The nurse is preparing an injection of IM haloperidol from a glass ampule. Which of the following actions by the nurse are appropriate? Select all that apply.

Correct Answer: B,C

Rationale: Breaking the ampule away from the body (
B) and disposing in a sharps container (
C) are safe practices. An 18-gauge needle (
A) is too large, injecting air (
D) is unnecessary, and resting the needle on the rim (E) risks contamination.

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