NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Question 1 of 5
The nurse at the prenatal clinic is reinforcing education to a client who is HIV positive. Which information is appropriate for the nurse to include?
Correct Answer: A
Rationale: Continuing antiretroviral therapy (
A) during pregnancy reduces HIV transmission to the infant. Tdap vaccine (
B) is recommended in pregnancy. Breastfeeding (
C) is contraindicated in HIV-positive mothers in high-resource settings. Infants (
D) require prophylaxis post-birth.
Question 2 of 5
A woman is pregnant for the first time and is Rh negative. Her husband is Rh positive. She tells the nurse that he is very worried about her baby. Which information should the nurse plan to include when talking with this woman?
Correct Answer: A
Rationale: The first Rh-positive baby is typically unaffected as maternal antibodies develop post-delivery. RhoGAM is given after birth to prevent issues in future pregnancies, not after the second baby.
Question 3 of 5
The nurse is talking with a client whose spouse recently died. The client states, 'I just cannot get over my spouse's death.' Which of the following responses would be appropriate for the nurse to make?
Correct Answer: B,D,E
Rationale: The nurse should provide empathetic, open-ended responses that encourage the client to express feelings and explore coping strategies. Suggesting a support group (
D) and asking about coping methods (E) are therapeutic. Acknowledging that grief takes time (
B) is supportive. Sharing personal experiences (
A) is unprofessional, and leaving the client alone (
C) may dismiss their emotional needs.
Question 4 of 5
A nurse on an orthopedic unit is caring for four clients with a casted extremity. Which client does the nurse prioritize to see first?
Correct Answer: A
Rationale: Tingling (
A) suggests neurovascular compromise, requiring urgent assessment. Itching (
B), moderate pain (
C), and throbbing (
D) are less critical.
Question 5 of 5
There has been a large-scale community disaster and clients must be roomed together at the hospital. Who are appropriate roommates in light of infection risk principles?
Correct Answer: D
Rationale: PID and coffee ground emesis (
D) are non-infectious, making them suitable roommates. Varicella, pertussis, TB (A, E), and COPD with sputum (
C) pose infection risks. AIIR (
B) is for airborne infections, incompatible with heart failure.