NCLEX-PN
NCLEX PN Practice Test Questions
Extract:
Question 1 of 5
The male client had a hemicolectomy. The client is refusing to wear the prescribed sequential compression devices (SCDs). What is most important for the nurse to communicate to the client?
Correct Answer: B
Rationale: SCDs prevent deep vein thrombosis (DVT) post-surgery, a potentially fatal complication. Communicating the risk of complications, including death (
B), is critical to emphasize the importance of compliance. Signing a refusal form (
A), billing (
C), or informing the surgeon (
D) are secondary to ensuring the client understands the serious risks.
Question 2 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 3 of 5
A nurse prepared the 9:00 A.M. medications for his clients and then was called off the unit briefly before he was able to administer them. Who may administer the medications to the clients now?
Correct Answer: C
Rationale: The nurse who prepared the medications must administer them to ensure accountability and familiarity with the preparation.
Question 4 of 5
A client is receiving IV potassium. The IV pump displays an occlusion alarm. The tubing is free of occlusions, and the IV flushes easily without symptoms of infiltration. Which action should the nurse take next?
Correct Answer: B
Rationale: An occlusion alarm with patent tubing suggests a pump malfunction. Exchanging the pump (
B) ensures safe delivery. Discarding (
A) is unnecessary, a new catheter (
C) is not indicated, and gravity drip (
D) risks rapid infusion.
Question 5 of 5
The nurse is caring for a 7 year-old child who is being discharged following a tonsillectomy. Which of the following instructions is appropriate for the nurse to teach the parents?
Correct Answer: A
Rationale: Report a persistent cough to the health care provider. Persistent coughing may indicate bleeding, which requires immediate attention.