NCLEX-PN
NCLEX PN Exam Practice Test Questions
Extract:
Question 1 of 5
A blood transfusion has just been started on an adult. Which assessment is most essential during the first hour?
Correct Answer: A
Rationale: Temperature monitoring detects febrile transfusion reactions, a common early complication, prioritizing patient safety.
Question 2 of 5
The nurse is assisting with community health screening. Which of the following clients is the priority to refer for further evaluation?
Correct Answer: B
Rationale: Shiny, hairless legs that are cool to the touch suggest peripheral artery disease, a serious condition requiring urgent evaluation. A is within normal glucose range (71-200 mg/dL). C is normal for an athlete. D indicates prehypertension, which is less urgent than vascular disease.
Question 3 of 5
The parent of an 8-year-old client asks the nurse for guidance on how to help the client cope with the recent death of the other parent. When developing a response to the parent, the nurse considers that a school-aged child is most likely to do what?
Correct Answer: D
Rationale: School-aged children (around 8 years old) typically understand death's permanence and may exhibit curiosity about it, which can guide coping strategies. A is more common in younger children. B and C are more typical of adolescents, who have more abstract thinking.
Question 4 of 5
The nurse is reinforcing teaching about circumcision care with the parent of a newly circumcised newborn. Which statement by the parent would require follow-up?
Correct Answer: D
Rationale: Alcohol-based wipes are too harsh for a circumcision site; gentle soap and water are recommended, requiring follow-up. Other statements are correct.
Question 5 of 5
The nurse is attending an end-of-year school family picnic. Which situation needs an immediate intervention?
Correct Answer: B
Rationale: A 3-year-old alone in a wading pool is at immediate risk of drowning, requiring urgent intervention. A poses a choking risk but is less immediately life-threatening. C and D are age-appropriate activities with lower immediate risk.