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NCLEX PN Practice Test Questions

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Question 1 of 5

A 3 year-old child has tympanostomy tubes in place. The child's parent asks the nurse if he can swim in the family pool. The best response from the nurse is

Correct Answer: C

Rationale: Water should not enter the ears. Children should use ear plugs when bathing or swimming and should not put their heads under the water.

Question 2 of 5

The nurse is planning care for all of the following clients. Which client should be cared for first?

Correct Answer: B

Rationale: The 75-year-old post-prostatectomy client's request to remove the catheter and urgency to urinate suggest potential catheter obstruction or bladder irritation, which could lead to complications like infection or bladder damage. This requires immediate assessment and intervention, taking priority over routine dressing changes, scheduled mobility, or pain management.

Question 3 of 5

Which of these statements best describes the characteristic of an effective reward-feedback system?

Correct Answer: A

Rationale: Feedback is most useful when given immediately. Positive behavior is strengthened through immediate feedback, and it is easier to modify problem behaviors if what constitutes appropriate behavior is clearly understood.

Question 4 of 5

The nurse recognizes that which factors place a client at increased risk for falls? Select all that apply.

Correct Answer: C,D,E

Rationale: Orthostatic pulse change (
C) indicates cardiovascular instability, increasing fall risk. Osteoarthritis of knees (
D) impairs mobility and stability. Carbidopa/levodopa (E) for Parkinson’s can cause orthostatic hypotension or dyskinesia, heightening fall risk. Age 50 (
A) is not a significant risk factor alone, ovarian cancer (
B) is unrelated to falls, and cane use (F) reduces risk if used correctly.

Question 5 of 5

The nurse is providing first aid at an outdoor festival when a client reports dizziness and weakness. The client is flushed, sweating, nauseated, and slightly tachycardic. Which action is most appropriate at this time?

Correct Answer: D

Rationale: Symptoms suggest heat exhaustion. Moving to a cool area and providing fluids (
D) is the first step. EMS (
A) is premature, leaving (
B) delays care, and intoxication (
C) is not indicated.

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The nurse is teaching a smoking cessation class and notices there are 2 pregnant women in the group. Which information is a priority for these women?
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During the charge nurse’s morning rounds, a client says, 'I hope you will take better care of me than the nurse I had last night.' What should be the charge nurse’s initial response?

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