NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
A man is being discharged following a vasectomy. Which comment by the client indicates a need for more instruction?
Correct Answer: B
Rationale: Condom use is needed for 6-12 weeks post-vasectomy until azoospermia is confirmed, not just 2 weeks. Scrotal support, family planning, and hygiene are appropriate.
Question 2 of 5
The nurse is caring for a 4-year-old client with cystic fibrosis who uses a high-frequency chest wall oscillation (HFCWO) vest for chest physiotherapy. After reinforcing education with the client's parents, which statement by a parent requires further teaching?
Correct Answer: A
Rationale: Eating during HFCWO vest use can increase the risk of aspiration or reduce therapy effectiveness, indicating a need for further teaching. Bronchodilators during therapy, manual percussion as a backup, and the described frequency are appropriate.
Question 3 of 5
A 4 year-old child is recovering from chicken pox (varicella). The parents would like to have the child return to day care as soon as possible. In order to ensure that the illness is no longer communicable, what should the nurse assess for in this child?
Correct Answer: A
Rationale: All lesions crusted. The child is no longer contagious when all lesions are crusted over.
Question 4 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 5 of 5
The client's lab culture report is negative for a suspected infection. A test that can correctly identify those who do not have a given disease is:
Correct Answer: A
Rationale: A specific test accurately identifies those without the disease (true negatives). Sensitivity identifies those with the disease. The other terms are unrelated to test performance. Safety and Infection Control