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NCLEX PN Practice Test Questions

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Question 1 of 5

At 26 weeks gestation, a client is admitted to the ER stating that she has been having a painless bloody vaginal discharge since last evening. The nurse should give priority to:

Correct Answer: A

Rationale: Painless bleeding at 26 weeks suggests placenta previa or abruption, requiring immediate physician notification . Assessing discharge , vitals , or fetal monitoring follows reporting.

Question 2 of 5

After a recent outbreak of varicella in an elementary school, the practical nurse is assisting with the development of an informative letter to parents. Which of the following instructions are appropriate to include? Select all that apply.

Correct Answer: A,B,C,D,E

Rationale: Calamine lotion (
A) relieves itching, short nails (
B) and mittens (E) prevent scratching, vaccinations (
C) protect against future infection, and isolation until crusted (
D) prevents transmission. All are appropriate.

Question 3 of 5

The nurse is reinforcing discharge teaching with the parent of a 6-year-old client who had a tonsillectomy 4 hours ago. The nurse should reinforce that it would be a priority to notify the health care provider if the client experiences

Correct Answer: C

Rationale: Frequent swallowing (
C) may indicate bleeding, a serious post-tonsillectomy complication requiring immediate reporting. Ear pain (
A), bad breath (
B), and low-grade fever (
D) are common and less urgent.

Question 4 of 5

Priorities to be considered intermediate are:

Correct Answer: A

Rationale: Priorities designated as intermediate by the nurse are those that are not urgent. They do not affect the client's immediate physiological status.

Question 5 of 5

An 8-year-old hospitalized due to a bowel obstruction is to be discharged home with a temporary colostomy. The parents’ primary language is Vietnamese, and their English proficiency is very limited. What is the best approach for the nurse to use when reinforcing instructions to the parents on how to care for the child at home?

Correct Answer: D

Rationale: A professional interpreter (
D) ensures accurate communication, critical for colostomy care. Simple English (
A) risks misunderstanding, pictures (
B) are insufficient alone, and informal translators (
C) may lack medical accuracy.

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The nurse is caring for a client with immune thrombocytopenic purpura. Which client statements indicate a need for further teaching? Select all that apply.
A client is being discharged with plans to return home alone. The client cannot get up from a chair without help and is very unsteady when standing, even with a walker. The nurse expresses concern, but the primary health care provider is adamant that the client be discharged today. Which team member would be most appropriate to assist the nurse in advocating for this client?
The nurse is observing a client with an obsessive-compulsive disorder in an inpatient setting. Which behavior is consistent with this diagnosis?

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