NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
A client arrived in the USA from a developing country 1 week ago. The client is to be admitted to the medical surgical unit with a diagnosis of AIDS. There is a history of these findings: unintended weight loss, drug abuse, night sweats, productive cough, and a 'feeling of being hot all the time.' The nurse should assign the client to share a room with a client with the diagnosis of
Correct Answer: A
Rationale: Acute tuberculosis with a productive cough of discolored sputum for over three months. The client being admitted has the classic findings of pulmonary tuberculosis. Of the available choices, the client in option A would be the most appropriate roommate. It is acceptable to put clients with similar diagnoses in the same room when no other alternative exists. Clients are considered contagious until the cough is eliminated with medications, which initially is a combination of 4 simultaneous drugs.
Question 2 of 5
A nurse is to administer 500 mL of IV fluid over 4 hours. The IV tubing has a drop factor of 20 drops per mL. What is the flow rate in drops per minute?
Correct Answer: B
Rationale: 500 mL ÷ 4 hours = 125 mL/h. (125 mL/h ÷ 60 min) × 20 gtt/mL = 41.67 gtt/min, rounded to 42 gtt/min. Other options are incorrect.
Question 3 of 5
After abdominal surgery, a client has a nasogastric tube attached to low suctioning. The client becomes nauseated, and the nurse observes a decrease in the flow of gastric secretions. Which of the following nursing interventions would be MOST appropriate?
Correct Answer: B
Rationale: Nausea and decreased NG tube output suggest possible obstruction. Aspirating with a syringe confirms tube placement and checks for blockages by testing the pH of aspirate (0–4 indicates gastric placement). Irrigation (
A) uses normal saline, not distilled water, and only after placement confirmation. Antiemetics (
C) or tube replacement (
D) do not address the cause.
Question 4 of 5
When explaining Standard Precautions to a client, the nurse should explain that the primary purpose of Standard Precautions is to:
Correct Answer: D
Rationale: Standard Precautions aim to reduce disease transmission (e.g., via blood, body fluids) for all patients, encompassing but not limited to AIDS or nosocomial infections.
Question 5 of 5
A 9-year old is admitted with suspected rheumatic fever. Which finding is suggestive of Sydenham's chorea?
Correct Answer: A
Rationale: Sydenham's chorea, a manifestation—of rheumatic fever, causes irregular movements and facial grimacing. Other options describe rheumatoid arthritis or other conditions.