NCLEX-PN
NCLEX PN Exam Practice Test Questions
Extract:
Question 1 of 5
The nurse has just completed a dressing change on an elderly client who is allowed bathroom privileges. Which action is most essential for the nurse to take before leaving the client's bedside?
Correct Answer: A
Rationale: Hand washing prevents infection transmission post-dressing change, a critical step. Lowering the bed, toileting, or pain assessment are secondary.
Question 2 of 5
A woman in labor calls the nurse to assist her in the bathroom. The nurse notices a large amount of clear fluid on the bed linens. The nurse knows that fetal monitoring must now assess for what complication?
Correct Answer: C
Rationale: When the membranes rupture, there is increased risk initially of cord prolapse. Fetal heart rate patterns may show variable decelerations, which require immediate nursing action to promote gas exchange.
Question 3 of 5
The nurse is caring for a client with a feeding tube that has become obstructed. Which intervention should the nurse implement first to unclog the tube?
Correct Answer: A
Rationale: Flushing with warm water is the first, safest step to unclog a feeding tube. Enzymes or other solutions are used if water fails, and small syringes may cause excessive pressure.
Question 4 of 5
The nurse has just completed a dressing change on an elderly client who is allowed bathroom privileges. Which action is most essential for the nurse to take before leaving the client's bedside?
Correct Answer: A
Rationale: Hand washing prevents infection transmission post-dressing change, a critical step. Lowering the bed, toileting, or pain assessment are secondary.
Question 5 of 5
A home health nurse visits a client with Alzheimer disease. The caregiver appears frustrated and reports that the client has been persistently restless and agitated. Which nursing action is the priority at this time?
Correct Answer: B
Rationale: Assessing for environmental triggers like noise is the priority, as it may contribute to agitation in Alzheimer's. Other actions are secondary.