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NCLEX PN Practice Test Questions

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Question 1 of 5

The client complains of frequent insomnia affecting her ability to rest well. Which of the following factors or lifestyle choices in her assessment history most likely contributes to her inability to sleep?

Correct Answer: D

Rationale: Nicotine in cigarettes is a stimulant, disrupting sleep and likely contributing to insomnia, unlike snacks, aspirin, or reading.

Question 2 of 5

A mother brings her 1-month-old son to the clinic for a well-baby visit. The child has a moderately severe hypospadias that was seen by a urologist in the newborn nursery. The mother is upset that the doctors would not circumcise her son before he was discharged. What information should the nurse include when responding to the mother?

Correct Answer: A

Rationale: Hypospadias repair often uses foreskin tissue, so circumcision is avoided to preserve it for surgical correction, addressing the mother's concern.

Question 3 of 5

The nurse is caring for assigned clients. The nurse should first check the

Correct Answer: A

Rationale: A 3-year-old with fever, hip pain, and refusal to move the leg (
A) may indicate a serious condition like septic arthritis or osteomyelitis, requiring immediate assessment to prevent joint damage or systemic infection. Sinus congestion (
B) and urinary symptoms (
D) are less urgent, and the nosebleed (
C) is being managed with pressure, making them lower priorities.

Question 4 of 5

The nurse is to change a dressing. Which is essential to do when opening the dressing set?

Correct Answer: A

Rationale: The first flap should be opened away from the nurse to allow the last flap to be opened toward the nurse, preventing contamination. The dressing set should be placed at waist height on a clean surface like an overbed table, not on the bed or a chair.

Question 5 of 5

The nurse reinforces teaching about self-management strategies for a client with urge incontinence. Which of the following statements indicate that teaching has been effective? Select all that apply.

Correct Answer: A,B,D,E

Rationale: Weight loss (
A) reduces bladder pressure, oxybutynin’s dry mouth side effect (
B) is correct, Kegel exercises (
D) strengthen pelvic floor muscles, and scheduled voiding (E) prevents urgency. Caffeine (
C) irritates the bladder, worsening incontinence, indicating ineffective teaching.

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