NCLEX Questions, NCLEX PN Test Questions Questions, NCLEX-PN

Extract:

Question 1 of 5

During change-of-shift report, the nurse going off duty notes that the nurse coming on has an alcohol smell on the breath and slurred speech. What actions are most important for the nurse to take?

Correct Answer: B,C

Rationale: Notifying the charge nurse (
C) and documenting (
B) ensure patient safety and follow protocol. Stopping handoff (
A) disrupts care continuity. Watching silently (
D) delays action, and confronting directly (E) may escalate the situation.

Question 2 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?

A. Allow a family member to bring the client a cup of coffee from the cafeteria B. Ask the client to wait until the health care provider's (HCP's) prescriptions can be verified C. Delegate the task to the unlicensed assistive personnel (UAP) assigned to the client D. Suggest water instead until admission assessment can be completed

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 3 of 5

Which of the following instructions should be included for the client taking calcium supplements?

A. The client should take her calcium with meals. B. The client should take all her daily calcium supplement at one time. C. The client should take her calcium supplement after meals to prevent stomach upset. D. The client can use calcium-based antacids to supplement her diet.

Correct Answer: A

Rationale: Taking calcium supplements with meals enhances absorption and reduces gastrointestinal upset.

Question 4 of 5

There has been a large-scale community disaster and clients must be roomed together at the hospital. Who are appropriate roommates in light of infection risk principles?

A. A client diagnosed with varicella and a client with pertussis B. A client placed in an airborne infection isolation room (AIIR) and a client with heart failure C. A client receiving chemotherapy and a client with chronic obstructive pulmonary disease (COPD) coughing yellow sputum D. A client with pelvic inflammatory disease (PID) and a client with coffee ground emesis E. Two clients diagnosed with tuberculosis

Correct Answer: D

Rationale: PID and coffee ground emesis (
D) are non-infectious, making them suitable roommates. Varicella, pertussis, TB (A, E), and COPD with sputum (
C) pose infection risks. AIIR (
B) is for airborne infections, incompatible with heart failure.

Question 5 of 5

A client with a 10-year history of major depressive disorder has relapsed and is now hospitalized. The client is currently on phenelzine and weighs 115 lb (52.2 kg) but weighed 150 lb (68 kg) 3 months before admission. Which foods would be best for this client?

A. Crackers and cheddar cheese B. Hard-boiled egg with tomatoes C. Steamed fish and potatoes D. Tortilla chips with avocado dip

Correct Answer: C

Rationale: Phenelzine, an MAOI, requires avoiding tyramine-rich foods like cheese (
A) to prevent hypertensive crisis. Fish and potatoes (
C) are safe and nutritious. Eggs (
B) and avocado (
D) are safe but less balanced.

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