NCLEX-PN
NCLEX PN Exam Practice Test Questions
Extract:
Question 1 of 5
A client is admitted to the labor and delivery unit in active labor. During examination, the nurse notes a papular lesion on the perineum. Which initial action is most appropriate?
Correct Answer: B
Rationale: Any lesion should be reported to the doctor. This can indicate a herpes lesion. Clients with open lesions related to herpes are delivered by Cesarean section because there is a possibility of transmission of the infection to the fetus with direct contact to lesions. It is not enough to document the finding, so answer A is incorrect. The physician must make the decision to perform a C-section, making answer C incorrect. It is not enough to continue primary care, so answer D is incorrect.
Question 2 of 5
An RN from the women's health clinic is temporarily reassigned to a medical-surgical unit. Which of these client assignments would be most appropriate for this nurse?
Correct Answer: B
Rationale: This client is the most stable, requires basic safety measures and has a predictable outcome.
Question 3 of 5
Which of the following are examples of medical battery? Select all that apply.
Correct Answer: C,D
Rationale: Administering morphine deceptively and inserting a catheter against a competent client's refusal constitute medical battery. Restraints and threats, while concerning, are not battery.
Question 4 of 5
The nurse is assessing a comatose client receiving gastric tube feedings. Which of the following assessments requires an immediate response from the nurse?
Correct Answer: A
Rationale: Decreased breath sounds in right lower lobe. The most common problem associated with enteral feedings is atelectasis. Maintain client at 30 degrees of head elevation during feedings and monitor for signs of aspiration. Check for tube placement prior to each feeding or every 4 to 8 hours if the client is receiving continuous feeding.
Question 5 of 5
The nurse is reinforcing teaching for a client with heart failure who has had multiple admissions to treat exacerbations. Which of the following statements by the client would require follow-up?
Correct Answer: B
Rationale: High-potassium foods can cause hyperkalemia in heart failure patients, especially with certain medications, requiring follow-up. Other statements are appropriate.