NCLEX-PN
NCLEX PN Practice Test Questions
Extract:
Question 1 of 5
A client is brought to the emergency room following a motor vehicle accident. When assessing the client one-half hour after admission, the nurse notes several physical changes. Which finding would require the nurse's immediate attention?
Correct Answer: C
Rationale: tracheal deviation. The deviated trachea is a sign that a mediastinal shift has occurred. This is a medical emergency.
Question 2 of 5
Which meal should the nurse recommend for a client at 13 weeks gestation?
Correct Answer: A
Rationale: Baked chicken, greens, cookie, and juice (
A) provide balanced nutrients without high-mercury fish (
B), deli meats (
C), or undercooked liver (
D), which pose risks in pregnancy.
Question 3 of 5
The nurse is reviewing new medication prescriptions for a client with an acute exacerbation of asthma. Which of the following prescriptions should the nurse clarify?
Correct Answer: B
Rationale: Potassium chloride (
B) is not indicated for asthma exacerbation unless hypokalemia is documented, requiring clarification. Albuterol (
A), methylprednisolone (
D) treat asthma, and enoxaparin (
C) may prevent thrombosis in immobile patients.
Question 4 of 5
The nurse is providing dietary teaching for an elderly client living on fixed income. Which food choices would provide the client with needed nutrients and be cost effective?
Correct Answer: B
Rationale: Spinach, dried beans, and tomatoes are nutrient-rich (vitamins, protein, fiber) and cost-effective. Bacon , ham , and beef/cheese/milk are more expensive and less balanced.
Question 5 of 5
Which situations require that the nurse report to an appropriate authority? Select all that apply.
Correct Answer: B,C,D,E
Rationale: Gonorrhea (
B) and syphilis (E) are reportable diseases, regardless of HIPAA. Suspected abuse in a teenager (
C) or elderly client (
D) mandates reporting, despite provider or client denial. Cupping (
A) is a cultural practice, not abuse.