NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
A nurse enters a client's room to discover that the client has no pulse or respirations. After calling for help, the first action the nurse should take is
Correct Answer: C
Rationale: Establishing an open airway is always the primary objective in a cardiopulmonary arrest.
Question 2 of 5
The nurse is caring for a 70-year-old client with diabetic retinopathy. Which of the following statements by the client would be a priority to follow up?
Correct Answer: A
Rationale: A 'curtain' over half the vision suggests retinal detachment, a medical emergency requiring immediate intervention to prevent permanent vision loss. Reading glasses are normal, cloudy vision or glare may indicate cataracts, and less bright colors are age-related, but none are as urgent.
Extract:
Vital signs
Temperature 98.6 F (37 C)
Heart rate 146/min
Respirations 42/min
O2 saturation or SpO2 98%
Question 3 of 5
A nurse auscultates a loud cardiac murmur on a newborn with suspected trisomy 21 (Down syndrome). A genetic screen and an echocardiogram are scheduled that day. The neonate’s vital signs are shown in the exhibit. What would be an appropriate action for the nurse to complete next?
Correct Answer: B
Rationale: Documenting the murmur is appropriate as genetic screening and an echocardiogram are already scheduled, indicating the provider is aware. Calling the provider is unnecessary, knee-chest position is for specific heart defects, and oxygen is not indicated without respiratory distress.
Extract:
Question 4 of 5
Which of the following interventions is most helpful in determining the need for oxygen therapy for a client with COPD?
Correct Answer: D
Rationale: Pulse oximetry objectively measures oxygen saturation, guiding the need for oxygen therapy in COPD. Subjective reports and hemoglobin levels are less direct.
Question 5 of 5
The nurse is teaching a teenage female about preventing the transmission of genital herpes. Which of the following statements should the nurse include?
Correct Answer: C
Rationale: Genital herpes can be transmitted during asymptomatic periods via sexual contact, including intercourse. The other statements are myths or irrelevant to prevention. Safety and Infection Control