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NCLEX PN Practice Test Questions

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Question 1 of 5

During the charge nurse’s morning rounds, a client says, 'I hope you will take better care of me than the nurse I had last night.' What should be the charge nurse’s initial response?

Correct Answer: B

Rationale: Asking for details (
B) allows the charge nurse to understand the client’s concerns and address specific issues. Apologizing (
A) assumes fault, excusing the nurse (
C) dismisses the concern, and reassurance (
D) lacks follow-through without investigation.

Question 2 of 5

Which of the following activities is most suitable for a 10-year old with asthma?

Correct Answer: B

Rationale: Swimming is ideal for children with asthma, as the humid environment reduces airway irritation, unlike high-exertion sports like soccer or basketball.

Question 3 of 5

A client diagnosed with trichomonal vaginal infection (trichomoniasis) is prescribed metronidazole. Which directions are essential for the nurse to reinforce? Select all that apply.

Correct Answer: A,D,E

Rationale: Metronidazole treatment for trichomoniasis requires specific instructions. Avoiding alcohol (
A) prevents a disulfiram-like reaction. Partner treatment (
D) is essential to prevent reinfection, as trichomoniasis is sexually transmitted. Urine discoloration (E) is a possible side effect to anticipate. Douching (
B) is not recommended, as it disrupts vaginal flora. Birth control pills (
C) do not prevent recurrence of this infection.

Question 4 of 5

A person who has psoriasis is seen in the clinic. The lesions are covered with coal tar. Which instruction should the nurse give the client?

Correct Answer: B

Rationale: Coal tar increases photosensitivity; protecting the area from sunlight for 24 hours prevents burns. Nausea, washing off, or skin darkening are not primary concerns.

Question 5 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.

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