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NCLEX PN Practice Test Questions

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Question 1 of 5

An adult has started on continuous ambulatory peritoneal dialysis. Which nursing instruction is of highest priority?

Correct Answer: B

Rationale: Aseptic technique is critical in peritoneal dialysis to prevent peritonitis, a serious complication. Understanding dialysis mechanics, withholding drugs, or diet are secondary.

Question 2 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 3 of 5

The nurse is reinforcing teaching of proper foot care to a client with diabetes mellitus. Which statement by the client indicates the need for further teaching?

Correct Answer: D

Rationale: Sandals (
D) expose feet to injury, increasing infection risk in diabetes. Lanolin (
A), avoiding heating pads (
B), and testing water (
C) are correct to prevent skin breakdown and burns.

Question 4 of 5

A child with a high level of school absenteeism is diagnosed with separation anxiety disorder. The school nurse should remind the child’s parent to take what action?

Correct Answer: C

Rationale: Gradual exposure to school, starting with partial attendance (
C), helps desensitize the child to separation anxiety. Staying home (
A) reinforces avoidance, schoolwork at home (
B) delays reintegration, and parental presence (
D) hinders independence.

Question 5 of 5

The nurse is talking with a client with macular degeneration. Which of the following statements by the client would be consistent with the condition?

Correct Answer: C

Rationale: Macular degeneration affects central vision, causing a blurry or dark spot in the visual field, as described in (
C), due to damage to the macula. Flashes of light (
A) suggest retinal issues, peripheral vision loss (
B) is typical of glaucoma, and difficulty reading up close (
D) relates to presbyopia.

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