NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
The nurse has taught the parents of a 6-year-old client with nephrotic syndrome. Which of the following statements by the parents would require follow-up?
Correct Answer: A
Rationale: Encouraging play with others (
A) may expose the child to infections, risky in nephrotic syndrome due to immunosuppression. Monitoring urine (
B), low-salt diet (
C), and reporting swelling (
D) are correct.
Question 2 of 5
The nurse is reinforcing teaching about infant safety to a class of expectant parents. Which statement by a participant indicates a need for further instruction?
Correct Answer: D
Rationale: Placing a teddy bear in the crib (
D) increases suffocation risk, requiring further teaching. Pacifiers (
A), sleep sacks (
B), and firm mattresses (
C) are safe.
Question 3 of 5
The nurse is preparing to irrigate the wound of a 7-year-old client who sustained a laceration while on a playground. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: A,D,E
Rationale: Analgesics (
A), checking vaccinations (
D) for tetanus risk, and continuous flushing (E) are appropriate. Cleaning from contaminated to clean (
B) is incorrect, and a 27-gauge needle (
C) is too small for irrigation.
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
A client who had a total knee replacement is to be discharged today. Which statement that the client makes indicates a need for further instruction?
Correct Answer: D
Rationale:
Total knee replacement typically allows partial weight-bearing with assistance post-surgery; complete non-weight-bearing suggests misunderstanding of mobility instructions.