NCLEX-PN
NCLEX PN Practice Test Questions
Extract:
Question 1 of 5
All nursing staff on the medical unit are responsible for implementing a new interdisciplinary fall prevention protocol. Which duties are appropriate for the licensed practical nurse to delegate to unlicensed assistive personnel to promote client safety? Select all that apply.
Correct Answer: B,C,D
Rationale: UAP can place commodes (
B), remind about slow position changes (
C), report condition changes (
D), and observe gait (E). Education (
A) requires nursing judgment, unsuitable for delegation.
Question 2 of 5
The nurse is teaching the client regarding bladder retraining. The ability to remain continent depends on the:
Correct Answer: C
Rationale: The central nervous system coordinates bladder control, integrating sensory input and voluntary control for continence. Other systems play secondary roles.
Question 3 of 5
The nurse has reinforced nutritional teaching on a client with gout who is placed on a low-purine diet. Which selection by the client would indicate a need for further teaching?
Correct Answer: D
Rationale: Fish should be avoided on a low-purine diet. Other foods to avoid include poultry, liver, lobster, oysters, peas, spinach, and oatmeal. Answers A, B, and C are all foods included on a low-purine diet, which makes them incorrect.
Question 4 of 5
The nurse is discussing dementia with the families of older adults. All of the following behaviors are reported. Which behavior is most suggestive of dementia?
Correct Answer: B
Rationale: Getting lost in a familiar area indicates significant spatial disorientation, a hallmark of dementia. Forgetting details, misplacing items, or color oversight are less specific.
Question 5 of 5
A client on hospice home care is taking sips of water but refusing food. Family members appear distressed and insist that the personal care worker 'force feed' the client. What is the priority nursing action?
Correct Answer: A
Rationale: Explaining that anorexia is normal in dying (
A) addresses family distress and aligns with hospice goals. Exploring concerns (
B) is secondary, feeding tubes (
C) are inappropriate, and choking warnings (
D) may escalate distress.