NCLEX-PN Exam Questions Instant Access - No Installation Required

Question 1

Which of the following statements describes the purpose of client restraint?

ARestraints are a nursing measure used to maintain client control.

BRestraints are an emergency intervention taken as a last resort to protect a client from imminent danger.

CRestraints are a therapeutic measure designed to positively reinforce client behavior.

DRestraints are an emergency measure that can only be taken by a nurse under the direct supervision of a physician.

Answer : B

The use of restraints as an emergency measure is taken primarily as a last resort to protect a client from harm. Typically, the nurse acts under a physician's order, but in an emergency, the nurse may restrain a client out of necessity for one hour prior to the client being seen by a physician or an advanced practice mental health provider.Safety and Infection Control

Question 2

Which of the following lab values is associated with a decreased risk of cardiovascular disease?

Ahigh HDL cholesterol

Blow HDL cholesterol

Clow total cholesterol

Dlow triglycerides

Answer : A

High HDL cholesterol and low LDL cholesterol are associated with a decreased risk of cardiovascular

disease.Reduction of Risk Potential

Question 3

Which of the following vaccines are not part of the regular schedule of immunizations for children?

ADTaP

BMMR

CHib

Dhepatitis A

Answer : D

Hepatitis A is not part of the regular immunization schedule for children. DTaP, MMR, and Hib are all regularly scheduled vaccines for children.Health Promotion and Maintenance

Question 4

The nurse is teaching a client about the use of Rifampin for prophylaxis after an exposure to meningitis. What change in bodily functions should the nurse advise the client about?

AThe client's urine might turn blue.

BThe client remains infectious to others for 48 hours.

CThe client's contact lenses might be stained orange.

DThe client's skin might take on a crimson glow.

Answer : C

Rifampin has the unusual effect of turning body fluids an orange color. Soft contact lenses might become

permanently stained. Clients should be taught about these side effects to avoid unnecessary concern.Safety and

Infection Control

Question 5

A nurse is working in an outpatient orthopedic clinic. During the patient's history the patient reports, ''I tore 3 of my 4 Rotator cuff muscles in the past.'' Which of the following muscles cannot be considered as possibly being torn?

ATeres minor

BTeres major

CSupraspinatus

DInfraspinatus

Answer : B

Teres Minor, Infraspinatus, Supraspinatus, and Subscapularis make up the Rotator Cuff.

Question 6

Which of the following statements by a client with spinal cord injury indicates a need for further teaching by the nurse regarding bowel management?

A''I should avoid eating foods that produce gas.''

B''I should drink more fluids like coffee and cola.''

C''I should set a regular schedule for bowel movements.''

D''I should sit in an upright position for bowel movements.''

Answer : B

This statement is incorrect because caffeinated fluids, such as coffee and cola, stimulate fluid loss through urination. Instead, fluids such as water and fruit juices should be taken. The remaining choices indicate correct understanding of bowel management.Reduction of Risk Potential

Question 7

To manage time most effectively, the nurse responds to which of the following stimuli first:

Athe physician's loud verbal direction.

Bthe nursing supervisor who is going to a meeting.

Cunit staff leaving on a break.

Dthe care needs of the returning postoperative client just exiting the elevator.

Answer : D

While many environmental stimuli might compete for attention and time, the client care needs of complex or unstable clients and those requiring assessment and care must take priority.Coordinated Care

NCLEX National Council Licensure Examination(NCLEX-PN) NCLEX-PN Exam Questions