NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Question 1 of 5
The nurse has attended a staff education program about obtaining blood specimens from newborns via heel stick. Which of the following statements by the nurse would require follow-up?
Correct Answer: B
Rationale: The center of the heel (
B) should be avoided to prevent bone injury; lateral or medial aspects are used. Sucking (
A), wiping the first drop (
C), and warming (
D) are correct.
Question 2 of 5
A nurse manager considers changing staff assignments from 8 hour shifts to 12 hour shifts. A staff-selected planning committee has approved the change, yet the staff are not receptive to the plan. As a change agent, the nurse manager should first
Correct Answer: B
Rationale: The manager is ultimately responsible for delivery of care and yet has given a committee chosen by staff the right to approve or disapprove the change. Planned change involves exploring barriers and restraining forces before implementing change.
To smooth acceptance of the change, restraining factors need to be evaluated.
Question 3 of 5
The nurse is caring for a client with heart failure who develops a persistent, dry cough after starting enalapril. Which of the following new prescriptions would the nurse anticipate for this client?
Correct Answer: D
Rationale: A dry cough is a common side effect of ACE inhibitors like enalapril, so switching to an ARB like valsartan (
D) is anticipated. Alprazolam (
A), guaifenesin (
B), and lisinopril (C, another ACE inhibitor) are inappropriate.
Question 4 of 5
The nurse is talking with a client who is scheduled for a lumbar puncture. Which of the following statements by the client would require follow-up?
Correct Answer: A
Rationale: Lumbar punctures are typically performed in a lateral or sitting position, not prone (
A), requiring clarification. Urinating beforehand (
B), needle insertion (
C), and transient pain (
D) are correct.
Question 5 of 5
The nurse has taught the parent of a pediatric client who will be receiving growth hormone replacement therapy. Which of the following statements by the parent would require follow-up?
Correct Answer: B
Rationale: Expecting equal height to peers (
B) is unrealistic, as outcomes vary. Bedtime dosing (
A), discontinuation at bone closure (
C), and x-rays (
D) are correct.