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 reinforces teaching about self-management strategies for a client with urge incontinence. Which of the following statements indicate that teaching has been effective? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Weight loss (
A) reduces bladder pressure, oxybutynin’s dry mouth side effect (
B) is correct, Kegel exercises (
D) strengthen pelvic floor muscles, and scheduled voiding (E) prevents urgency. Caffeine (
C) irritates the bladder, worsening incontinence, indicating ineffective teaching.
Question 3 of 5
The nurse is caring for four antepartum clients. Which client should the nurse see first?
Correct Answer: C
Rationale: A suspected ectopic pregnancy is a medical emergency due to the risk of rupture and internal bleeding, which can be life-threatening. Abdominal and shoulder pain are hallmark symptoms, indicating possible referred pain from diaphragmatic irritation. This client requires immediate assessment and intervention, prioritizing over hyperemesis gravidarum (which, while serious, is less immediately life-threatening), molar pregnancy (which needs monitoring but is not an acute emergency), and threatened miscarriage (which requires evaluation but is less urgent without active bleeding or pain).
Question 4 of 5
The nurse is performing rounding on clients in restraints. Which situation would require immediate intervention by the nurse?
Correct Answer: D
Rationale: A vest restraint in the high-Fowler position (
D) poses a risk of strangulation or asphyxiation due to the restraint slipping upward, requiring immediate intervention. Belt restraint in semi-Fowler (
A), mitten restraints in side-lying (
B), and wrist restraints in supine (
C) are safer positions, assuming proper application and monitoring.
Question 5 of 5
The doctor has ordered two medications to be given intramuscularly. The nurse should:
Correct Answer: C
Rationale: The nurse must check if the medications are compatible for combination in one syringe to minimize injections. Administering separately without checking or in specific sites is premature.