NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Question 1 of 5
A nurse manager considers changing staff assignments from 8 hour shifts to 12 hour shifts. A staff-selected planning committee has approved the change, yet the staff are not receptive to the plan. As a change agent, the nurse manager should first
Correct Answer: B
Rationale: The manager is ultimately responsible for delivery of care and yet has given a committee chosen by staff the right to approve or disapprove the change. Planned change involves exploring barriers and restraining forces before implementing change.
To smooth acceptance of the change, restraining factors need to be evaluated.
Question 2 of 5
The school nurse observes a 7-year-old client with attention deficit hyperactivity disorder begin to throw books and attempt to hit the classmates. Which of the following actions would be a priority for the nurse to take?
Correct Answer: C
Rationale: Removing the client to a quiet room (
C) ensures safety and de-escalates the situation. Balloon blowing (
A) is inappropriate, PRN methylphenidate (
B) is not typically ordered, and consequences (
D) are secondary.
Question 3 of 5
Following cardiac surgery, a client's urine output for the last hour is 20 mL. The nurse understands that this indicates which of the following?
Correct Answer: B
Rationale: Low urine output (20 mL/hour) post-cardiac surgery suggests insufficient cardiac output, impairing renal perfusion. Hyperkalemia, inadequate fluids, or diuresis are less likely causes without additional signs.
Question 4 of 5
The clinic nurse is planning to assess the visual acuity of a 6-year-old. Which method is the best way to assess visual acuity in this child?
Correct Answer: B
Rationale: The tumbling E chart (
B) is age-appropriate for a 6-year-old, who may not know letters. Allen cards (
A) are for younger children, Snellen at 10 ft (
C) is non-standard, and Ishihara (
D) tests color vision.
Question 5 of 5
The nurse shows an understanding of the psychological needs of a client in isolation when he:
Correct Answer: C
Rationale: Allowing phone calls meets the psychological need for social connection in isolation. Reading material is helpful but less critical, alternating staff may disrupt continuity, and limiting PPE compromises safety.