NCLEX-PN
NCLEX PN Practice Test Questions
Extract:
Question 1 of 5
The nurse assists with a community teaching program for parents and caregivers of infants. Which statement by a participant indicates that teaching has been successful?
Correct Answer: B,D
Rationale: Honey (
A) is unsafe for infants under 1 year due to the risk of botulism. Waiting until 1 year to introduce egg products (
B) is correct to reduce allergy risks. Switching to low-fat milk (
C) is incorrect, as infants need whole milk or formula for adequate fat and nutrients. The ability to pick up finger foods by 12 months (
D) is a correct developmental milestone, indicating successful teaching.
Question 2 of 5
An adult has started on continuous ambulatory peritoneal dialysis. Which nursing instruction is of highest priority?
Correct Answer: B
Rationale: Aseptic technique is critical in peritoneal dialysis to prevent peritonitis, a serious complication. Understanding dialysis mechanics, withholding drugs, or diet are secondary.
Question 3 of 5
An adult is admitted with a head injury following an accident. He has a severe headache and asks the nurse why he cannot have something for pain. The nurse understands that the client should not receive a narcotic analgesic for which reason?
Correct Answer: D
Rationale: Narcotics depress respirations, risking CO2 retention, acidosis, and increased intracranial pressure in head injury clients. Mydriasis, ineffectiveness, or vomiting are less critical concerns.
Question 4 of 5
A client on hospice home care is taking sips of water but refusing food. Family members appear distressed and insist that the personal care worker 'force feed' the client. What is the priority nursing action?
Correct Answer: A
Rationale: Explaining that anorexia is normal in dying (
A) addresses family distress and aligns with hospice goals. Exploring concerns (
B) is secondary, feeding tubes (
C) are inappropriate, and choking warnings (
D) may escalate distress.
Question 5 of 5
The nurse recognizes that which factors place a client at increased risk for falls? Select all that apply.
Correct Answer: C,D,E
Rationale: Orthostatic pulse change (
C) indicates cardiovascular instability, increasing fall risk. Osteoarthritis of knees (
D) impairs mobility and stability. Carbidopa/levodopa (E) for Parkinson’s can cause orthostatic hypotension or dyskinesia, heightening fall risk. Age 50 (
A) is not a significant risk factor alone, ovarian cancer (
B) is unrelated to falls, and cane use (F) reduces risk if used correctly.