NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
A nurse who is a native English speaker admits an elderly Mexican-American migrant worker after an accident that occurred during work. To facilitate communication the nurse should initially
Correct Answer: D
Rationale: Assess the client's ability to speak English. Despite the cultural heritage, the nurse cannot make assumptions. Stereotyping is to be avoided. The nurse should assess the client's comfort and ability in speaking English.
Question 2 of 5
In an emergency situation, the nurse determines whether a client has an airway obstruction. Which of the following does the nurse assess?
Correct Answer: A
Rationale: Inability to speak is a primary indicator of airway obstruction, as it suggests blocked airflow. Hearing, oxygen saturation, and breath sounds are secondary or less immediate. Safety and Infection Control
Question 3 of 5
The nurse is observing a staff member perform open suctioning for a client who has a tracheostomy tube. The nurse should intervene if the staff member is observed
Correct Answer: C
Rationale: Applying suction while inserting the catheter can cause tracheal mucosa damage and hypoxia. Flushing the catheter with saline maintains patency, and semi-Fowler position aids breathing and reduces aspiration risk during suctioning.
Question 4 of 5
The nurse is talking with a client with obsessive-compulsive disorder. When the client performs ritualistic behaviors, the nurse should recognize that the client
Correct Answer: C
Rationale: Ritualistic behaviors in OCD are driven by an intense need to control the environment or reduce anxiety through repetitive actions. They are not related to hearing voices or controlling anger, which are more associated with other disorders.
Question 5 of 5
The nurse will administer liquid medicine to a 9 month-old child. Which of the following methods is appropriate?
Correct Answer: B
Rationale: Using a needle-less syringe to give liquid medicine to an infant is often the safest method. If the nurse directs the medicine toward the side or the back of the mouth, gagging will be reduced.