NCLEX-PN
NCLEX PN Practice Test Questions
Extract:
Question 1 of 5
A nurse prepared the 9:00 A.M. medications for his clients and then was called off the unit briefly before he was able to administer them. Who may administer the medications to the clients now?
Correct Answer: C
Rationale: The nurse who prepared the medications must administer them to ensure accountability and familiarity with the preparation.
Question 2 of 5
Which of the following indicates that the client taking an anticoagulant needs further teaching?
Correct Answer: B
Rationale: Green, leafy vegetables are high in vitamin K, which can counteract anticoagulants like warfarin, so consistent intake or dietary counseling is needed.
Question 3 of 5
An 8-year-old hospitalized due to a bowel obstruction is to be discharged home with a temporary colostomy. The parents’ primary language is Vietnamese, and their English proficiency is very limited. What is the best approach for the nurse to use when reinforcing instructions to the parents on how to care for the child at home?
Correct Answer: D
Rationale: A professional interpreter (
D) ensures accurate communication, critical for colostomy care. Simple English (
A) risks misunderstanding, pictures (
B) are insufficient alone, and informal translators (
C) may lack medical accuracy.
Question 4 of 5
The nurse prepares a client for discharge following a vasectomy. The client asks, 'When can I have sexual intercourse with my wife without using a condom?' What is the best response by the nurse?
Correct Answer: D
Rationale: A vasectomy requires confirmation of azoospermia via semen analysis, typically after 6-12 weeks or 15-20 ejaculations, to ensure sterility. Alternative birth control (
C) is needed until this confirmation. Immediate unprotected intercourse (
A) risks pregnancy, and 6 months (
B) is unnecessarily long.
Question 5 of 5
At a nursing staff meeting, there is discussion of perceived inequities in weekend staff assignments. As a follow-up, the nurse manager should initially
Correct Answer: D
Rationale: Facilitate creative thinking on staffing. The 'moving phase' of change involves viewing the problem from a new perspective, and then incorporating new and different approaches to the problem. The manager, as a change agent, can facilitate staff's solving the problem.