NCLEX-PN
NCLEX PN Practice Test Questions
Extract:
Question 1 of 5
A student nurse performs morning rounds and obtains a urine specimen from a client with methicillin-resistant Staphylococcus aureus who is in contact precautions. The nurse preceptor intervenes when the student performs which action?
Correct Answer: A
Rationale: Chlorhexidine (
A) is not standard for stethoscope cleaning in contact precautions; alcohol or approved disinfectants are used to prevent MRSA transmission. Sealed bags for specimens (
B), scrubbing the port (
C), and hand hygiene (
D) are correct actions to maintain infection control.
Question 2 of 5
Prior to administering a tube feeding, the nurse obtains 50 mL of aspirant. The nurse should:
Correct Answer: B
Rationale: Replacing the aspirant prevents fluid/electrolyte loss, and feeding can proceed if pH confirms placement. Discarding aspirant risks dehydration, and holding the feeding is unnecessary unless placement is uncertain.
Question 3 of 5
Which situations require that the nurse report to an appropriate authority? Select all that apply.
Correct Answer: B,C,D,E
Rationale: Gonorrhea (
B) and syphilis (E) are reportable diseases, regardless of HIPAA. Suspected abuse in a teenager (
C) or elderly client (
D) mandates reporting, despite provider or client denial. Cupping (
A) is a cultural practice, not abuse.
Question 4 of 5
A young adult is admitted to the psychiatric unit because she has become very withdrawn and has stopped attending college classes. She sits for hours rocking back and forth and appears to be talking to someone at intervals. She does not eat or bathe or relate to others. How should the nurse approach this client upon admission?
Correct Answer: C
Rationale: A withdrawn client may be overwhelmed by detailed explanations. Brief information and quiet presence build trust and reduce anxiety.
Question 5 of 5
The nurse is preparing to administer IV cefazolin to a newly admitted client with cellulitis. The nurse notes the client is allergic to amoxicillin. Which of the following actions should the nurse take next?
Correct Answer: D
Rationale: Clients with an allergy to penicillin antibiotics (eg, amoxicillin) can experience a cross-sensitivity reaction
to cephalosporin antibiotics (eg, cefazolin) because the medication molecules are structurally similar. The
nurse should first obtain more information by asking about the type of reaction the client experienced because
allergic reactions can range from mild to severe (Option 4)
Cephalosporins can be safely administered to clients with a history of mild allergic reaction to penicillin (eg,
rash) but are contraindicated for clients with a history of anaphylaxis.