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NCLEX-PN Test Bank

NCLEX PN Test Questions

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Question 1 of 5

Rehabilitation services begin:

Correct Answer: A

Rationale: Rehabilitation starts upon entry into the healthcare system to maximize recovery from the outset. Waiting for stabilization or discharge delays optimal intervention. Health Promotion and Maintenance

Question 2 of 5

A health care provider is screaming at the nurse in the hallway. 'Why didn't you get that surgery scheduled sooner?' What is the best response by the nurse?

Correct Answer: B

Rationale: Responding calmly and redirecting to a supervisor de-escalates the situation professionally while addressing the inappropriate tone. Accusing the provider of overreacting is confrontational and unprofessional.

Question 3 of 5

Which discharge teaching instructions should the nurse reinforce to the parents of a 2-year-old with group A streptococcal pharyngitis? Select all that apply.

Correct Answer: A,B,D

Rationale: Completing antibiotics prevents resistance, cool liquids/soft foods ease swallowing, and replacing the toothbrush prevents reinfection. A week-long daycare exclusion is excessive (24-48 hours post-antibiotics is sufficient), and lozenges are unsafe for a 2-year-old due to choking risk.

Question 4 of 5

The nurse is caring for a 4-year-old client with cystic fibrosis who uses a high-frequency chest wall oscillation (HFCWO) vest for chest physiotherapy. After reinforcing education with the client's parents, which statement by a parent requires further teaching?

Correct Answer: A

Rationale: Eating during HFCWO vest use can increase the risk of aspiration or reduce therapy effectiveness, indicating a need for further teaching. Bronchodilators during therapy, manual percussion as a backup, and the described frequency are appropriate.

Question 5 of 5

Fat emulsions are frequently administered as a part of total parenteral nutrition. Which statement is true regarding fat emulsions?

Correct Answer: A

Rationale: Fat emulsions provide a high energy-to-fluid-volume ratio (e.g., 2 kcal/mL for 20% solutions), making them efficient for TPN. They are isotonic and pH-neutral, not hypertonic or alkaline. Pharmacological Therapies

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The nurse monitors a client who has followed a vegan diet for several years. Which client statement would indicate a possible complication resulting from a vegan diet?
The nurse is caring for a client on droplet precautions who has a prescription for a CT scan. When transporting the client to radiology, the nurse should ensure that the transporter uses protective equipment correctly to reduce the environmental spread of infection when the client is outside the room. Which instruction should the nurse give the transporter?
The nurse in the outpatient mental health clinic is evaluating the effectiveness of the treatment regimen for a client with dependent personality disorder. Which of the following statements by the client would indicate that the treatment regimen has been effective?

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