NCLEX-PN
NCLEX PN Exam Practice Test Questions
Extract:
Question 1 of 5
A client has had a positive reaction to purified protein derivative (PPD). The client asks the nurse what this means. The nurse should indicate that the client has
Correct Answer: B
Rationale: The PPD skin test is used to determine the presence of tuberculosis antibodies and a positive result indicates that the person has been exposed to mycobacterium tuberculosis. Additional tests are needed to determine if active tuberculosis is present.
Question 2 of 5
The nurse is auscultating an elderly bedridden client's breath sounds and hears crackles. What is the best interpretation of this finding?
Correct Answer: C
Rationale: Crackles in a bedridden elderly client suggest fluid in the lungs or atelectasis, which deep breathing can help clear. It's not normal, not immediately life-threatening, and oxygen is premature without further assessment.
Question 3 of 5
The nurse is monitoring a newborn with skin discoloration in the buttock and lumbar area. Which action by the nurse is appropriate? Click the exhibit button for additional information.
Correct Answer: B
Rationale: Skin discoloration in the buttock and lumbar area of a newborn is often due to Mongolian spots (also called congenital dermal melanocytosis). These are benign, flat, bluish-gray patches typically found on the lower back or buttocks. They are more common in infants with darker skin tones and are not harmful, but they can be mistaken for bruises, which raises concern for abuse later on.
The appropriate nursing action is to measure and document the size, shape, and location of the spots in the medical record. This ensures that there is a clear, dated record of the findings to avoid confusion in the future.
Question 4 of 5
The nurse is caring for a newborn shortly after birth. Which of the following findings would be a priority to follow up?
Correct Answer: D
Rationale: A tuft of hair at the spine base may indicate spina bifida occulta, requiring follow-up. Vernix, caput succedaneum, and Mongolian spots are normal newborn findings.
Question 5 of 5
An adult admitted for surgery also is diagnosed with obsessive-compulsive disorder. The client spends most of her time in the bathroom washing her hands. The client is scheduled for surgery at 8:00 A.M. and is to be premedicated at 7:00 A.M. Which nursing action will be most appropriate?
Correct Answer: C
Rationale: Providing a wash basin accommodates her OCD hand-washing ritual, reducing anxiety post-medication while ensuring she remains in bed.