NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Question 1 of 5
An elderly client who experiences nighttime confusion wanders from his room into the room of another client. The nurse can best help decrease the client's confusion by:
Correct Answer: D
Rationale: A night light reduces confusion by improving visibility and orientation. Constant supervision is impractical, room-sharing may worsen confusion, and sedatives increase fall risk.
Question 2 of 5
Which teaching instructions should the nurse reinforce to a client with advanced chronic obstructive pulmonary disease?
Correct Answer: B,C,E
Rationale: Pneumococcal vaccine (
B), reporting increased sputum (
C), and incentive spirometry (E) manage COPD. A high-calorie diet, not low-calorie (
A), is needed. Iron (
D) is only indicated for confirmed anemia.
Question 3 of 5
The nurse answers a call light on a client not assigned to the nurse. The client, who was just admitted from the emergency department, requests a cup of coffee. What is the appropriate intervention?
Correct Answer: D
Rationale: Suggesting water (
D) is safe until dietary orders are confirmed. Coffee (A,
C) may be contraindicated, and waiting (
B) doesn't address the request.
Question 4 of 5
The graduate nurse (GN) is caring for a client with a fractured femur in balanced suspension skeletal traction. Which action by the GN will require the precepting nurse to intervene?
Correct Answer: B
Rationale: Lifting traction weights (
B) disrupts alignment and healing, requiring intervention. Hydration and fiber (
A), monitoring sites (
C), and pulse checks (
D) are appropriate.
Question 5 of 5
The nurse caring for a client with an ileal conduit observes that the stoma appears bluish gray. What is the nurse's best action?
Correct Answer: D
Rationale: A bluish-gray stoma (
D) indicates ischemia, requiring immediate reporting. Antibiotics (
A) are premature, monitoring (
B) delays care, and resizing the pouch (
C) is irrelevant.