NCLEX-PN
NCLEX PN Exam Practice Test Questions
Extract:
Question 1 of 5
An adult admitted for surgery also is diagnosed with obsessive-compulsive disorder. The client spends most of her time in the bathroom washing her hands. The client is scheduled for surgery at 8:00 A.M. and is to be premedicated at 7:00 A.M. Which nursing action will be most appropriate?
Correct Answer: C
Rationale: Providing a wash basin accommodates her OCD hand-washing ritual, reducing anxiety post-medication while ensuring she remains in bed.
Question 2 of 5
Which of the following are examples of medical battery? Select all that apply.
Correct Answer: C,D
Rationale: Administering morphine deceptively and inserting a catheter against a competent client's refusal constitute medical battery. Restraints and threats, while concerning, are not battery.
Question 3 of 5
The nurse is caring for a client who had a colostomy two days ago. Which comment the client makes indicates a readiness to learn about caring for the colostomy?
Correct Answer: B
Rationale: Asking about the bag's purpose shows curiosity and readiness to learn about colostomy care. Other comments reflect denial, frustration, or lack of engagement with care.
Extract:
Medication monitoring therapeutic ranges
Phenytoin
10-20 mcg/mL
(40-79 mcmol/L)
Digoxin
0.8-2 ng/mL
(1.02-2.56 nmol/L)
INR (prosthetic valve)
3-4
Lithium
0.8-1.2mEq/L
(0.8-1.2 mmol/L)
Question 4 of 5
Which of the following laboratory values requires immediate follow-up?
Correct Answer: A
Rationale: Phenytoin levels of 8 mcg/mL are subtherapeutic (therapeutic range: 10-20 mcg/mL), especially with enteral feedings that reduce absorption, requiring immediate adjustment.
Extract:
Question 5 of 5
A nurse in the gynecology clinic is reviewing client histories. Which report would be most concerning to the nurse?
Correct Answer: D
Rationale: Bloating and pelvic pressure in a 60-year-old client may indicate serious conditions such as ovarian cancer or other pelvic masses, which require urgent evaluation. Fish-like odor suggests bacterial vaginosis, heavy bleeding with an IUD is common, and pain with endometriosis is expected, making these less concerning.