NCLEX-PN
NCLEX PN Exam Practice Test Questions
Extract:
Question 1 of 5
A 38-year-old client who has mitral stenosis is hospitalized for a valve replacement. Which condition is the client most likely to report having had earlier in life?
Correct Answer: C
Rationale: Mitral stenosis is commonly a sequel of rheumatic fever, which damages heart valves. Meningitis, syphilis, and rubella are not typically associated with mitral valve pathology.
Question 2 of 5
The nurse is caring for a client who had a colostomy two days ago. Which comment the client makes indicates a readiness to learn about caring for the colostomy?
Correct Answer: B
Rationale: Asking about the bag's purpose shows curiosity and readiness to learn about colostomy care. Other comments reflect denial, frustration, or lack of engagement with care.
Question 3 of 5
The nurse is caring for a client born at 42 weeks gestation. Which of the following potential clinical findings should the nurse anticipate for a postterm newborn? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Postterm newborns often have deep plantar creases, dry/peeling skin, long nails/hair, and minimal vernix due to prolonged gestation. Lanugo is more common in preterm infants.
Question 4 of 5
The nurse is planning care for a 6-month-old client admitted with bacterial meningitis. Which nursing action is the priority?
Correct Answer: D
Rationale: Prompt antibiotic therapy is critical to treat bacterial meningitis and prevent complications or death, making it the priority. A, B, and C are important but secondary; padding prevents injury, daily head circumference monitors for hydrocephalus, and a low-stimuli environment reduces seizure risk, but none address the infection directly.
Question 5 of 5
The nurse in the emergency department is caring for assigned clients. The nurse should recognize that which of the following clients meets the criteria for involuntary admission to the mental health unit? Select all that apply.
Correct Answer: A,C
Rationale: Refusal of food and fluids for 4 days indicates imminent risk of harm to self due to dehydration and malnutrition, meeting involuntary admission criteria. 3: Threats of violence suggest potential harm to others, justifying involuntary admission. 2 does not indicate immediate risk, as the client is medication-compliant. 4 reflects unusual behavior but not immediate danger. 5 does not inherently indicate a psychiatric emergency requiring involuntary admission.