NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Question 1 of 5
An adult is admitted in severe hypovolemic shock following an auto accident. A transfusion is ordered. What type of blood is given when the client's blood type is not known?
Correct Answer: B
Rationale: O negative is the universal donor, safe for emergency transfusions when the blood type is unknown, minimizing reaction risk.
Question 2 of 5
The nurse is caring for assigned clients. The nurse should first check the client with
Correct Answer: D
Rationale: Pericarditis with paradoxical pulse (
D) suggests tamponade, requiring immediate assessment. Atrial fibrillation (
C), pneumonia (
B), and cirrhosis (
A) are less urgent.
Question 3 of 5
The nurse in a college health clinic is teaching the male students testicular self-examination. Which statement made by one of the young men indicates a need for more teaching?
Correct Answer: D
Rationale: Testicular cancer primarily affects younger men (15–35 years), not older men, indicating a need for more teaching. Monthly exams, shower timing, and reporting lumps are correct.
Question 4 of 5
The student nurse verbalizes the procedure for obtaining a wound culture to the nurse preceptor. Which of the following statements by the student indicate a correct understanding?
Correct Answer: B,D
Rationale: Cleansing the wound with normal saline (
B) removes contaminants, and hand hygiene with gloves (
D) ensures sterility. Applying ointment before the culture (
A) could contaminate the sample. Swabbing from the outermost margin to the center (E) risks contaminating the sample with skin flora; the correct method is to swab the cleanest area first. Obtaining drainage since the last dressing change (
C) may not target active infection.
Question 5 of 5
The nurse has performed the initial assessments of 4 clients admitted with an acute episode of asthma. Which assessment finding would cause the nurse to call the provider immediately?
Correct Answer: B
Rationale: Acute asthma is characterized by expiratory wheezes caused by obstruction of the airways. Sudden cessation of wheezing is an ominous sign that indicates an emergency -- the small airways are now collapsed.