NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Question 1 of 5
A nurse who is evaluating a developmentally challenged 2 year-old should stress which goal when talking to the child's mother?
Correct Answer: C
Rationale: Promoting the child's optimal development. The primary goal is to promote the child's optimum development.
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
An elderly client is admitted with an acute exacerbation of chronic obstructive pulmonary disease. Pulse oximetry is 84% on room air. The client is restless, has expiratory wheezing and a productive cough, and is using the accessory muscles to breathe. Which prescription should the nurse question?
Correct Answer: C
Rationale: Morphine (
C) can depress respiration in COPD, worsening hypoxia, and should be questioned. Albuterol (
A) relieves bronchospasm, methylprednisolone (
B) reduces inflammation, and oxygen (
D) addresses hypoxia, all appropriate for COPD exacerbation.
Extract:
Vital signs
Blood pressure 105/60 mm Hg
Heart rate 80/min
Respirations 22/min
SpO2 90% on room air
Nurse notes
The client has a history of coronary artery disease and peripheral vascular disease. Nursing assessment reveals crackles in middle & lower lung fields, moderate jugular venous distension, and 3+ pedal edema.
Medications
Enoxaparin: 30 mg subcutaneous once daily
Metoprolol: 50 mg PO twice a day
Furosemide: 40 mg PO twice daily
Atorvastatin: 20 mg PO once daily
Question 4 of 5
The nurse is preparing to administer medications to a client with acute decompensated heart failure. Which of the following medications should the nurse hold for clarification prior to administering?
Correct Answer: D
Rationale: Metoprolol (
D) may worsen acute decompensated heart failure by reducing cardiac output, requiring clarification. Furosemide (
C) treats fluid overload, enoxaparin (
B) prevents thrombosis, and atorvastatin (
A) manages lipids.
Extract:
Question 5 of 5
A 2-year-old who swallowed an overdose of adult cough syrup is being discharged from the emergency department. The parent says to the nurse, 'From now on, I'm going to store all medicines in my top dresser drawer.' Which is the best response by the nurse?
Correct Answer: A
Rationale: A locked drawer (
A) ensures safety. Childproof caps (
B) are helpful but insufficient alone. The plan (
C) is unsafe without a lock, and constant supervision (
D) is unrealistic.