NCLEX-PN
NCLEX PN Exam Practice Test Questions
Extract:
Question 1 of 5
An adult asks the nurse about blood types. Which information should the nurse plan to include when replying?
Correct Answer: B
Rationale: A person cannot receive blood with antigens (factors) they lack, as it causes an immune reaction. Blood typing is accurate, O negative is the universal donor, and O positive can only donate to Rh-positive types.
Question 2 of 5
At the day treatment center a client diagnosed with schizophrenia - paranoid type sits alone alertly watching the activities of clients and staff. The client is hostile when approached and asserts that the doctor gives her medication to control her mind. The client's behavior most likely indicates
Correct Answer: B
Rationale: Social isolation related to altered thought processes. Hostility and lack of engagement suggest isolation driven by paranoid thoughts.
Question 3 of 5
A client in the medical-surgical unit has an indwelling urinary catheter. Which actions should the nurse implement to reduce the incidence of catheter-associated urinary tract infections? Select all that apply.
Correct Answer: B,C,E
Rationale: Using a separate container prevents cross-contamination. Keeping the bag below the bladder prevents urine backflow, reducing infection risk. E: Sterile technique minimizes pathogen introduction during specimen collection. A is incorrect as routine antiseptic cleansing can disrupt natural flora, increasing infection risk. D is incorrect as routine irrigation is not recommended unless medically indicated, as it can introduce pathogens.
Question 4 of 5
The nurse has attended a staff education program about medication administration during pregnancy. Which of the following medications should the nurse recognize are contraindicated during pregnancy? Select all that apply.
Correct Answer: A,C,D
Rationale: Lisinopril (teratogenic), isotretinoin (severe birth defects), and doxycycline (fetal bone/teeth damage) are contraindicated. Albuterol and levothyroxine are generally safe.
Question 5 of 5
The nurse is caring for a client who has type 2 diabetes mellitus and an elevated hemoglobin A1c. Which statement by the nurse will best address this result?
Correct Answer: B
Rationale: Elevated A1c reflects poor glycemic control over months, so reviewing diet, exercise, and medications is most relevant. Other options are less comprehensive.