NCLEX_PN_2025_PN_NCLEX_EXAM_QUESTIONS

NCLEX PN 2025 / PN NCLEX EXAM NEWEST
ACTUAL EXAM 260 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) ALREADY GRADED A+
The critical care nurse is caring for a client with a subclavian central line catheter. The
nurse knows that a specific central-line bundle was developed to reduce the client's risk
for developing a catheter-related bloodstream infection (CLABSI). The interventions
include which essential actions? Select all that apply.
1.
Strict hand washing
2.
Daily dressing change

3.
Betadine skin antisepsis

4.
Optimal catheter site selection

5.
Strict sterile technique with maximal barrier precautions during placement

6.
Infection control primary health care provider as a member of the client's health care
team - ANSWER>>1, 4, 5

The nurse caring for a Chinese-American client plans to use communication according
to Chinese-American cultural beliefs and practices. Which techniques are considered
disrespectful in the Chinese-American's view of communication? Select all that apply.

1.
Sitting side-by-side

2.
Maintaining eye contact

3.
Closing the conversation abruptly

4.
Touching the opposite sex in public

5.
Allowing silent pauses during conversation - ANSWER>>2, 3, 4

,he nurse is assigned to care for a client with a diagnosis of detached retina. Which
findings would indicate that bleeding has occurred as a result of retinal detachment?
Select all that apply.

1.
Total loss of vision

2.
Vision may be cloudy

3.
A reddened conjunctiva

4.
A sudden sharp pain in the eye

5.
Complaints of a burst of black spots or floaters
6.
Vision is clear straight ahead but not to the right - ANSWER>>2, 5
The nurse admits a
client who has seizure precautions prescribed. The client has a seizure just after the
nurse has implemented the precautions. Which actions should the nurse take? Select all
that apply.

1.
Time the start and stop of the seizure.

2.
Apply oxygen at 2L with nasal cannula.

3.
Turn the client to the side and do not restrain.

4.
Note the distinguishing characteristics of the seizure.

5.
Use a padded tongue blade to avoid tongue injury.

6.
Turn on the suction machine with oral catheter. - ANSWER>>1, 2, 3, 4, 6

A primary health care provider (PHCP) has written a prescription for a preoperative
client to have "enemas until clear." The nurse has administered three enemas and the
client is still passing brown liquid stool. Which action should the nurse take next?

,1.
Notify the primary health care provider.
2.
Continue to administer the enemas until the stool is clear.
3.
Encourage the client to drink clear liquids and administer another enema in 1 hour.

4.
Wait 30 minutes, check the client's electrolyte levels, and then administer another
enema. - ANSWER>>1

The nurse reviews the client's health record and notes that based on Leopold's
maneuvers, the fetus is in a cephalic presentation. Which findings while performing
Leopold's maneuvers support the identification of a cephalic presentation? Select all
that apply.

1.
Small parts are located on the left side of the uterus.

2.
Small parts are located on the right side of the uterus.

3.
A round hard ballottable shape is located in the fundus.

4.
A round hard ballottable shape is located just above the symphysis pubis.

5.
A soft, irregular non-ballottable shape is located just above the symphysis pubis. -
ANSWER>>1, 2, 5

he nurse is assigned to assist the primary health care provider (PHCP) with the removal
of a chest tube. Which interventions should the nurse anticipate performing during this
process? Select all that apply.

1.
Reinforce instructions to breathe deeply while the tube is removed.

2.
Cover the site with an occlusive dressing after the tube is removed.

3.
Clamp the chest tube near the insertion site just before the removal.

4.

, Raise the drainage system to the level of the chest tube insertion site.

5.
Have the client perform the Valsalva maneuver as the chest tube is pulled out. -
ANSWER>>2, 5

A hospitalized client with coronary artery disease complains of substernal chest pain.
After checking the client's heart rate and blood pressure, the nurse administers
nitroglycerin, 0.4 mg sublingually. After 5 minutes, the client states, "My chest still
hurts." If the vital signs have remained stable, which action should the nurse perform?

1.
Apply 10 L of oxygen via nasal cannula.

2.
Administer another nitroglycerin tablet.

3.
Call the resuscitation team immediately.
4.
Administer a second nitroglycerin tablet in 10 minutes. - ANSWER>>2
A cooling blanket is prescribed for a child with a fever. The nurse prepares to use the
cooling blanket and should avoid which action?

1.
Keeping the child uncovered to assist in reducing the fever

2.
Placing the cooling blanket on the bed and covering it with a sheet

3.
Keeping the child dry while on the cooling blanket to prevent the risk of frostbite

4.
Checking the skin condition of the child before, during, and after the use of the cooling
blanket - ANSWER>>1

A client has returned to the nursing unit following abdominal hysterectomy. To gather
data on the client's postoperative bleeding, the nurse should implement which
interventions? Select all that apply.

1.
Observing perineal pad drainage

2.
Observing the abdominal dressing