NCLEX PN Test

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Question 1 of 5.

The nurse is caring for a woman who is HIV positive. The woman starts her period. There is menstrual blood on the floor. What substance should the nurse use to clean up the floor?

A. Chlorine bleach

B. Hydrogen peroxide

C. Betadine

D. Ammonia

Explanation: Chlorine bleach is the best product for cleaning blood spills, as HIV can be present in menstrual blood, requiring a disinfectant effective against bloodborne pathogens.

Question 2 of 5.

A client is admitted with right lower quadrant pain, nausea, and a temperature of 100Â°F. What does the nurse expect will be done initially?

A. X-ray of the abdomen

B. Deep palpation of the abdomen

C. Blood drawn for complete blood count (CBC)

D. Administration of a tap water enema

Explanation: Symptoms suggest appendicitis; a CBC is initial to assess for infection (elevated WBC), guiding further diagnostic steps.

Question 3 of 5.

The nurse is caring for an adult who was admitted for observation following an automobile accident. The client has several lacerations that were sutured in the emergency room and a fractured leg that has been casted. The baseline vital signs are BP=120/72, P=76, and R=16. One hour after arriving on the unit, the client's vital signs are BP=108/68, P=90, and R=22. The nurse most correctly interprets these results to mean that the client may be developing which condition?

A. Shock

B. Increased intracranial pressure

C. Panic attack

D. Autonomic hyperreflexia

Explanation: Decreased BP, increased pulse, and respirations suggest shock, possibly from occult bleeding or trauma response, requiring urgent evaluation.

Question 4 of 5.

The nurse is caring for a client who is scheduled for a cardiac stress test tomorrow. Prior to the stress test, the nurse should:

A. encourage the client to eat a hearty meal just before the test.

B. not give the client caffeine to drink.

C. have the client practice by walking vigorously around the unit.

D. not let the client watch stressful programs on television.

Explanation: Caffeine can affect heart rate and test results, so it should be avoided before a stress test.

Question 5 of 5.

An adult is admitted to the hospital with several days of vomiting and diarrhea. Admitting data show RBC level of 4.2 million/mmÃ‚³ and hematocrit of 54%. What is the best interpretation of these data?

A. The client may have internal bleeding.

B. The client is probably dehydrated.

C. These are normal findings.

D. The client is anemic.

Explanation: Elevated hematocrit (normal: 36-46% for females, 41-53% for males) with normal RBC suggests hemoconcentration from dehydration due to fluid loss from vomiting and diarrhea.

Question 1 of 5.

The nurse is caring for a woman who is HIV positive. The woman starts her period. There is menstrual blood on the floor. What substance should the nurse use to clean up the floor?

A. Chlorine bleach

B. Hydrogen peroxide

C. Betadine

D. Ammonia

Question 2 of 5.

A client is admitted with right lower quadrant pain, nausea, and a temperature of 100Â°F. What does the nurse expect will be done initially?

A. X-ray of the abdomen

B. Deep palpation of the abdomen

C. Blood drawn for complete blood count (CBC)

D. Administration of a tap water enema

Question 3 of 5.

A. Shock

B. Increased intracranial pressure

C. Panic attack

D. Autonomic hyperreflexia

Question 4 of 5.

The nurse is caring for a client who is scheduled for a cardiac stress test tomorrow. Prior to the stress test, the nurse should:

A. encourage the client to eat a hearty meal just before the test.

B. not give the client caffeine to drink.

C. have the client practice by walking vigorously around the unit.

D. not let the client watch stressful programs on television.

Question 5 of 5.

A. The client may have internal bleeding.

B. The client is probably dehydrated.

C. These are normal findings.

D. The client is anemic.

Question 1 of 5.

The nurse is caring for a woman who is HIV positive. The woman starts her period. There is menstrual blood on the floor. What substance should the nurse use to clean up the floor?

A. Chlorine bleach

B. Hydrogen peroxide

C. Betadine

D. Ammonia

Question 2 of 5.

A client is admitted with right lower quadrant pain, nausea, and a temperature of 100Â°F. What does the nurse expect will be done initially?

A. X-ray of the abdomen

B. Deep palpation of the abdomen

C. Blood drawn for complete blood count (CBC)

D. Administration of a tap water enema

Question 3 of 5.

A. Shock

B. Increased intracranial pressure

C. Panic attack

D. Autonomic hyperreflexia

Question 4 of 5.

The nurse is caring for a client who is scheduled for a cardiac stress test tomorrow. Prior to the stress test, the nurse should:

A. encourage the client to eat a hearty meal just before the test.

B. not give the client caffeine to drink.

C. have the client practice by walking vigorously around the unit.

D. not let the client watch stressful programs on television.

Question 5 of 5.

A. The client may have internal bleeding.

B. The client is probably dehydrated.

C. These are normal findings.

D. The client is anemic.

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