NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Question 1 of 5
A nurse is providing a parenting class to individuals living in a community of older homes. In discussing formula preparation, which of the following is most important to prevent lead poisoning?
Correct Answer: C
Rationale: Use of lead-contaminated water to prepare formula is a major source of poisoning in infants. Letting tap water run for several minutes will diminish the lead contamination.
Question 2 of 5
The student nurse verbalizes the procedure for obtaining a wound culture to the nurse preceptor. Which of the following statements by the student indicate a correct understanding?
Correct Answer: B,D
Rationale: Cleansing the wound with normal saline (
B) removes contaminants, and hand hygiene with gloves (
D) ensures sterility. Applying ointment before the culture (
A) could contaminate the sample. Swabbing from the outermost margin to the center (E) risks contaminating the sample with skin flora; the correct method is to swab the cleanest area first. Obtaining drainage since the last dressing change (
C) may not target active infection.
Question 3 of 5
The practical nurse (PN) is assisting with care for a 1-day-old client who is irritable, feeding poorly, and only sleeping for very short intervals. The newborn's mother has been taking hydrocodone on a regular basis for several years. When collaborating with the registered nurse to develop the plan of care, which intervention should the PN include?
Correct Answer: D
Rationale: Swaddling and rocking (
D) soothe a newborn with neonatal abstinence syndrome due to maternal hydrocodone use. Pacifiers (
A) are helpful, supine positioning (
B) is for safety but not soothing, and stimulation (
C) may worsen irritability.
Question 4 of 5
The nurse caring for a client with an ileal conduit observes that the stoma appears bluish gray. What is the nurse's best action?
Correct Answer: D
Rationale: A bluish-gray stoma (
D) indicates ischemia, requiring immediate reporting. Antibiotics (
A) are premature, monitoring (
B) delays care, and resizing the pouch (
C) is irrelevant.
Question 5 of 5
A client with moderate Alzheimer disease is started on memantine. What should the nurse monitor to evaluate the effectiveness of this medication?
Correct Answer: A
Rationale: Memantine may slow decline and improve daily functioning (
A). It does not stop progression (
B), provide rapid improvement (
C), or reverse Alzheimer's (
D).