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NCLEX PN Practice Test Questions

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Question 1 of 5

A nurse is caring for a client 2 days after surgical creation of an arteriovenous fistula in the forearm. Which finding should the nurse report immediately to the health care provider?

Correct Answer: C

Rationale: Pale skin in the hand (
C) suggests vascular compromise, risking fistula failure or ischemia, requiring immediate reporting. Edema (
A) is common, a swooshing sound (
B) indicates patency, and mild pain (
D) is expected.

Question 2 of 5

A client diagnosed with trichomonal vaginal infection (trichomoniasis) is prescribed metronidazole. Which directions are essential for the nurse to reinforce? Select all that apply.

Correct Answer: A,D,E

Rationale: Metronidazole treatment for trichomoniasis requires specific instructions. Avoiding alcohol (
A) prevents a disulfiram-like reaction. Partner treatment (
D) is essential to prevent reinfection, as trichomoniasis is sexually transmitted. Urine discoloration (E) is a possible side effect to anticipate. Douching (
B) is not recommended, as it disrupts vaginal flora. Birth control pills (
C) do not prevent recurrence of this infection.

Question 3 of 5

Which instruction should be given to a client taking Lugol's solution prior to a thyroidectomy?

Correct Answer: B

Rationale: Lugol's solution (iodine) should be taken with juice to mask its taste and reduce gastric irritation. Taking it at bedtime , reporting appetite changes , or avoiding sunshine are not specific to this medication.

Question 4 of 5

A client is admitted to the postpartum floor after a vaginal birth. Which finding indicates the need for immediate intervention?

Correct Answer: B

Rationale: Headache with blurred vision (
B) suggests preeclampsia, a life-threatening condition requiring immediate intervention. Lochia (
A), nipple pain (
C), and discharge (
D) are normal or less urgent postpartum findings.

Question 5 of 5

A 3 year-old child has tympanostomy tubes in place. The child's parent asks the nurse if he can swim in the family pool. The best response from the nurse is

Correct Answer: C

Rationale: Water should not enter the ears. Children should use ear plugs when bathing or swimming and should not put their heads under the water.

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A category 4 hurricane has affected a rural, local health care system, creating a significant increase in emergency department admissions. Which of the following clients should the nurse anticipate as the priority for intervention?
The nurse is talking with the parent of a 15-month-old client who is scheduled to receive the varicella vaccine. Which of the following statements would be appropriate for the nurse to make? Select all that apply.

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