NCLEX-PN
NCLEX PN Exam Practice Test Questions
Extract:
Question 1 of 5
On admission to the psychiatric unit, the client is trembling and appears fearful. The nurse's initial response should be to
Correct Answer: B
Rationale: Introduce him/herself and accompany the client to the client's room. This reduces anxiety by providing a calm and secure environment.
Question 2 of 5
A sputum collection is ordered for an adult. How should the nurse plan to collect the specimen?
Correct Answer: B
Rationale: Morning sputum collection yields the most concentrated sample for accurate testing, typically for infections like tuberculosis, without needing mouthwash, all-day collection, or excessive fluids.
Question 3 of 5
The nurse is planning care for a 6-month-old client admitted with bacterial meningitis. Which nursing action is the priority?
Correct Answer: D
Rationale: Prompt antibiotic therapy is critical to treat bacterial meningitis and prevent complications or death, making it the priority. A, B, and C are important but secondary; padding prevents injury, daily head circumference monitors for hydrocephalus, and a low-stimuli environment reduces seizure risk, but none address the infection directly.
Question 4 of 5
An obese 85-year-old client, who is an avid gardener and eats only home-grown fruits, legumes, and vegetables, is admitted to the hospital with pneumonia after having an upper respiratory tract infection for a week. Which factor puts the client at greatest risk for developing pneumonia?
Correct Answer: A
Rationale: Advanced age (85 years) is the greatest risk factor for pneumonia due to weakened immune response and comorbidities. Other factors are less significant.
Question 5 of 5
The nurse is talking with a client's spouse who insists on being present in the room while the client is receiving CPR. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Allowing the spouse to stay with a staff member to explain reduces distress and supports family presence, which is often permitted during CPR.