NCLEX-PN
NCLEX PN Practice Test Questions
Extract:
Question 1 of 5
The clinic nurse cares for a 4-year-old who has been diagnosed with a pinworm infection. Which client symptom supports this diagnosis?
Correct Answer: A
Rationale: Pinworms cause anal itching, worse at night (
A), due to female worms laying eggs. Bleeding (
B), appetite loss (
C), and skin lesions (
D) are not typical, suggesting other conditions like hookworms or dermatitis.
Question 2 of 5
The nurse enters the room of a client who had major abdominal surgery 1 week ago and notes dehiscence and evisceration of the surgical incision. The nurse should immediately place the client in the
Correct Answer: A
Rationale: Low Fowler with knees bent (
A) reduces abdominal tension, preventing further evisceration while awaiting surgical intervention. Prone (
B), supine flat (
C), or side-lying (
D) increase strain or risk organ protrusion.
Question 3 of 5
A nurse is caring for a 1-month-old client who is being evaluated for congenital hypothyroidism. The nurse should recognize which of the following as clinical manifestations of hypothyroidism in infants? Select all that apply.
Correct Answer: A,B,D
Rationale: Hypothyroidism in infants causes lethargy (
A), dry skin (
B), and hoarse cry (
D) due to slowed metabolism. Loose stools (
C) and tachycardia (E) are more typical of hyperthyroidism.
Question 4 of 5
A client is being discharged with plans to return home alone. The client cannot get up from a chair without help and is very unsteady when standing, even with a walker. The nurse expresses concern, but the primary health care provider is adamant that the client be discharged today. Which team member would be most appropriate to assist the nurse in advocating for this client?
Correct Answer: D
Rationale: The client’s mobility limitations and unsafe discharge plan require advocacy for alternative arrangements, such as home care or facility placement. A social worker (
D) specializes in coordinating resources, assessing home safety, and advocating for patient needs, making them the best team member to assist. A psychologist (
A) focuses on mental health, while occupational (
B) and physical therapists (
C) address functional skills but not discharge planning.
Question 5 of 5
The nurse has reinforced teaching about formula preparation with the parent of a newborn. Which of the following statements by the parent would indicate a correct understanding of the teaching? Select all that apply.
Correct Answer: A,B,D
Rationale: Microwaving (
A) can cause uneven heating, risking burns, so it’s avoided. Washing the can top (
B) prevents contamination. Refrigerated formula must be discarded after 24 hours (
D) to prevent bacterial growth. Diluting less (
C) alters nutrition, and bottled water (E) may need boiling depending on safety, indicating incorrect understanding.