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
Before administering a feeding through a gastrostomy tube, what is the priority nursing assessment?
Correct Answer: D
Rationale: Tube patency should be checked prior to all feedings. The feeding should not be attempted if the tube is not patent.
Question 3 of 5
The nurse administers cimetidine (Tagamet) to a 79 year-old male with a gastric ulcer. Which parameter may be affected by this drug, and should be closely monitored by the nurse?
Correct Answer: C
Rationale: The elderly are at risk for developing confusion when taking cimetidine, a drug that interacts with many other medications.
Question 4 of 5
The nurse is caring for a client diagnosed with a deep venous thrombosis 1 day ago. Which action by the client would require an immediate intervention by the nurse?
Correct Answer: D
Rationale: Massaging the leg (
D) risks dislodging the clot, causing embolism, requiring immediate intervention. Ambulation (
A), warm compresses (
B), and elevation (
C) are appropriate.
Question 5 of 5
The nurse is caring for a college football player who recently sustained an accidental, forceful, helmet-to-helmet collision with another running football player. Which sign/symptom is most concerning and alerts the practical nurse to contact the registered nurse immediately?
Correct Answer: B
Rationale: A 'halo' across vision (
B) suggests a serious neurological issue, such as a concussion or brain injury, requiring immediate attention. Epistaxis (
A), emesis (
C), and headache (
D) are concerning but less urgent unless persistent or worsening.