NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
A client recovering from a head injury is receiving medication and nutritional feedings by nasogastric tube. The doctor has ordered medication to prevent seizure activity. The medication is supplied by the pharmacy in tablet form. Before administering the medication, the nurse should:
Correct Answer: D
Rationale: For NG tube administration, liquid medication is preferred to ensure proper delivery and absorption. Crushing tablets may alter efficacy, and oral administration is inappropriate.
Question 2 of 5
The nurse is reinforcing discharge instructions for the parents of a 4-year-old client with heart failure. What statement made by the parents indicates a need for further teaching?
Correct Answer: A
Rationale: Holding heart failure medication (e.g., digoxin) for a heart rate above 90/min is incorrect for a 4-year-old, as their normal heart rate is 80-120/min; the threshold is typically lower (e.g., <60/min). Not repeating a dose after vomiting, avoiding mixing with food, and reporting nausea/vomiting are correct.
Question 3 of 5
The nurse coming on duty notifies the unit of a delay due to a motor vehicle accident. The off-going nurse has an important appointment and must leave on time. How should the off-going nurse handle the situation?
Correct Answer: C
Rationale: Notifying the charge nurse ensures proper client coverage and maintains continuity of care without abandoning patients. Asking another nurse assumes their availability, tape-recording lacks interaction, and a written report alone does not ensure immediate supervision.
Question 4 of 5
In an obstetrical emergency, which of the following actions should the nurse perform first after the baby delivers?
Correct Answer: C
Rationale: Suctioning the baby's mouth and nose first ensures a clear airway, critical for newborn respiration. Other actions follow based on the situation. Safety and Infection Control
Question 5 of 5
The nurse is assessing a 16-year-old mother for potential child abuse. Which factor is most important when assessing the potential for child abuse?
Correct Answer: D
Rationale: A history of being abused as a child is the strongest predictor of potential child abuse, as it influences parenting behaviors.