NCLEX-PN
NCLEX PN Exam Practice Test Questions
Extract:
Question 1 of 5
The client has a chest tube attached to a portable water seal drainage system. Four hours after the chest tube is inserted, the nurse notes that there is no bubbling in the water seal compartment. What is the most likely explanation for this?
Correct Answer: A
Rationale: No bubbling in the water seal four hours post-insertion suggests the lung has reexpanded, resolving the pneumothorax. Obstruction, air leaks, or inactive suction would typically cause other signs.
Question 2 of 5
The nurse caring for newborns observes for jaundice. Which type of jaundice is likely to be most serious?
Correct Answer: A
Rationale: Jaundice within the first 24 hours suggests pathological causes like hemolytic disease, requiring urgent evaluation. Later jaundice is often physiologic and less severe.
Question 3 of 5
Clients taking which of the following drugs are at risk for depression?
Correct Answer: A
Rationale: Steroids. Corticosteroids can cause depression as a side effect, which may persist even after discontinuation.
Question 4 of 5
The nurse is preparing to administer an enteral feeding to a client via a nasogastric feeding tube. The most important action of the nurse is to
Correct Answer: A
Rationale: verify correct placement of the tube. Proper placement of the tube prevents aspiration.
Question 5 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.