NCLEX-PN
NCLEX PN Exam Practice Test Questions
Extract:
Question 1 of 5
All of the following women are seen in the physician's office. Which is at greatest risk for preterm labor?
Correct Answer: C
Rationale: Multiple gestation, such as twins, significantly increases preterm labor risk due to uterine overdistension, making the 21-year-old the highest risk.
Question 2 of 5
The nurse is caring for a newborn shortly after birth. Which of the following findings would be a priority to follow up?
Correct Answer: D
Rationale: A tuft of hair at the spine base may indicate spina bifida occulta, requiring follow-up. Vernix, caput succedaneum, and Mongolian spots are normal newborn findings.
Question 3 of 5
The nurse is talking with the parent of a 6-year-old client about how to share details of the client's adoption. Which of the following thought processes would be consistent with the expected cognitive development of the client?
Correct Answer: B
Rationale: At age 6, children can imagine scenarios like life with biological parents, consistent with concrete operational thinking. Other options reflect older or atypical development.
Question 4 of 5
A client expresses concern about facial appearance after surgery for excision of a melanoma on the side of the nose. What is the best response by the nurse?
Correct Answer: C
Rationale: This response addresses the client's concern about appearance by providing education on wound care to minimize scarring, promoting empowerment and trust. A deflects the concern without addressing it. B dismisses the client's feelings and focuses on an unrelated issue. D assumes scarring and offers a cosmetic solution prematurely, which may not address the client's emotional needs.
Question 5 of 5
A woman in labor calls the nurse to assist her in the bathroom. The nurse notices a large amount of clear fluid on the bed linens. The nurse knows that fetal monitoring must now assess for what complication?
Correct Answer: C
Rationale: When the membranes rupture, there is increased risk initially of cord prolapse. Fetal heart rate patterns may show variable decelerations, which require immediate nursing action to promote gas exchange.