NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
A client with cancer has been placed on TPN. The nurse notes air entering the client via the central line. Which initial action is most appropriate?
Correct Answer: C
Rationale: The client is at risk for an air embolus. Placing the client in this position displaces air away from the right ventricle. Answers B and D would not help, so they are incorrect, and answer A would not be done first, so it's incorrect.
Question 2 of 5
While assisting a client with AM care, the nurse notes small elevated skin lesions less than $0.5 \mathrm{cm}$ in diameter over the client's back. The nurse should describe the lesions as:
Correct Answer: D
Rationale: Papules are small, elevated skin lesions less than 0.5 cm in diameter, matching the description provided.
Question 3 of 5
The health care provider (HCP) explains the risks and benefits of a procedure to the client through an interpreter. The HCP leaves after asking the nurse to witness the client's signature on the consent. The interpreter and client now have a lengthy discussion in the foreign language. The nurse should take which action at this time?
Correct Answer: A
Rationale: Asking the interpreter to explain the discussion (
A) ensures the nurse understands any concerns or clarifications, verifying informed consent. Gestures (
B) are unreliable, the interpreter witnessing (
C) is inappropriate, and noting interpreter use (
D) is insufficient without understanding the discussion.
Question 4 of 5
A client has many delusions. As the nurse helps the client prepare for breakfast the client comments 'Don't waste good food on me. I'm dying from this disease I have.' The appropriate response would be
Correct Answer: D
Rationale: This response does not challenge the client’s delusional system and thus forms an alliance by providing reassurance of desire to help the client.
Question 5 of 5
The nurse is planning care for an 11-year-old child with attention deficit hyperactivity disorder who is hospitalized for surgical treatment of a fractured femur. What is the priority nursing action?
Correct Answer: A
Rationale: A structured environment (
A) supports ADHD management by reducing overstimulation and providing predictability, critical for a hospitalized child. Written schedules (
B) and verbal explanations (
C) are secondary, and restricting visitors (
D) is unnecessary.