NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
The nurse has reinforced teaching with a client with newly diagnosed psoriasis. Which of the following statements by the client would require follow-up?
Correct Answer: A
Rationale: Moderate sunlight exposure can improve psoriasis, so statement A is incorrect and requires follow-up. Avoiding scratching (
B), recognizing stress as a trigger (
C), and avoiding alcohol (
D) are accurate and align with psoriasis management.
Question 2 of 5
A client with cancer has been placed on TPN. The nurse notes air entering the client via the central line. Which initial action is most appropriate?
Correct Answer: C
Rationale: The client is at risk for an air embolus. Placing the client in this position displaces air away from the right ventricle. Answers B and D would not help, so they are incorrect, and answer A would not be done first, so it's incorrect.
Question 3 of 5
The nurse is talking with a client who has type 1 diabetes mellitus and is receiving newly prescribed continuous subcutaneous insulin infusion therapy via an infusion pump. Which of the following statements by the client would indicate a correct understanding of the therapy?
Correct Answer: C
Rationale: Insulin pumps (
C) provide steady insulin delivery, improving glucose stability. Glucose monitoring (
A) and bolus doses (
B) are still needed, and infusion sets are changed every 2-3 days, not daily (
D).
Question 4 of 5
An 86-year-old client with diabetes and gastroparesis has had repeated hospitalizations for aspiration pneumonia following a stroke and is now hospitalized with altered level of consciousness. Which nursing action is most appropriate to decrease the client's risk for developing aspiration pneumonia?
Correct Answer: B
Rationale: The side-lying position (
B) reduces aspiration risk by preventing reflux into the airway, especially in clients with altered consciousness. Assessing breath sounds (
A), oxygen titration (
C), and repositioning (
D) are supportive but less effective for prevention.
Question 5 of 5
Which of the following situations is most likely to produce sepsis in the neonate?
Correct Answer: B
Rationale: Prolonged rupture of membranes. Premature rupture of the membranes (PROM) is a leading cause of newborn sepsis. After 12-24 hours of leaking fluid, measures are taken to reduce the risk to mother and the fetus/newborn.