NCLEX-PN
NCLEX Practice Test PN Questions
Extract:
Question 1 of 5
The home health nurse is caring for a 6-year-old client who has a tracheostomy and is being mechanically ventilated when the ventilator's apnea alarm sounds. The nurse determines the client is unresponsive and pulseless, and there are no other caregivers present. Which of the following actions should the nurse take next?
Correct Answer: B
Rationale: Activating the emergency response system ensures rapid assistance for a pulseless child, initiating the chain of survival in pediatric cardiac arrest.
Question 2 of 5
The nurse has attended a staff education program about needlestick injuries. Which of the following statements by the nurse would require follow-up?
Correct Answer: B
Rationale: Recapping needles increases the risk of injury and is not recommended. Needles should be disposed of in sharps containers immediately after use.
Question 3 of 5
A 6-year-old was just diagnosed with pediculosis capitis. Which comment by the mother of the child indicates to the nurse in the physician's office that she does not understand how this condition is spread?
Correct Answer: C
Rationale: Blaming a dirty house misrepresents lice transmission, which occurs via direct head-to-head contact or sharing items, indicating misunderstanding.
Question 4 of 5
The best method of evaluating the amount of peripheral edema is:
Correct Answer: B
Rationale: Measuring the extremity provides a direct and quantifiable assessment of peripheral edema by tracking changes in circumference. Daily weighing can indicate fluid retention but is less specific, so answer A is incorrect. Intake and output monitoring does not directly measure edema, so answer C is incorrect. Checking for pitting assesses the presence of edema but not its amount, so answer D is incorrect.
Question 5 of 5
The nurse prepares to reinforce teaching for a client with latent tuberculosis who is prescribed oral isoniazid. Which instructions should the nurse include? Select all that apply.
Correct Answer: A,C,D
Rationale: Avoiding alcohol (
A), reporting jaundice (
C), and reporting neuropathy (
D) address isoniazid's risks of hepatotoxicity and peripheral neuropathy.