NCLEX-PN
NCLEX PN Exam Practice Test Questions
Extract:
Question 1 of 5
The nurse in the emergency department is caring for assigned clients. The nurse should recognize that which of the following clients meets the criteria for involuntary admission to the mental health unit? Select all that apply.
Correct Answer: A,C
Rationale: Refusal of food and fluids for 4 days indicates imminent risk of harm to self due to dehydration and malnutrition, meeting involuntary admission criteria. 3: Threats of violence suggest potential harm to others, justifying involuntary admission. 2 does not indicate immediate risk, as the client is medication-compliant. 4 reflects unusual behavior but not immediate danger. 5 does not inherently indicate a psychiatric emergency requiring involuntary admission.
Question 2 of 5
The nurse is caring for a client with osteoporosis who is being discharged on alendronate (Fosamax). Which statement would indicate effective teaching?
Correct Answer: B
Rationale: This is required to prevent esophageal problems. The medication should be taken in the morning before food or other medications with water, making answers A and C incorrect choices. It should also be taken as ordered, which makes answer D incorrect.
Question 3 of 5
An adult is receiving intermittent tube feedings. When the nurse aspirates and measures the gastric contents, the client's wife asks the nurse what she is doing. What information is most important to include in the response?
Correct Answer: B
Rationale: Aspirating gastric contents verifies tube placement, the most critical step to prevent aspiration during feedings.
Question 4 of 5
The nurse is talking with the parent of a 6-year-old client about how to share details of the client's adoption. Which of the following thought processes would be consistent with the expected cognitive development of the client?
Correct Answer: B
Rationale: At age 6, children can imagine scenarios like life with biological parents, consistent with concrete operational thinking. Other options reflect older or atypical development.
Question 5 of 5
The nurse is making a home visit to the mother of an 8-lb baby boy born five days ago. Which observation indicates that the mother understands the care of the newborn?
Correct Answer: B
Rationale: Sponge baths are appropriate for newborns until the umbilical cord falls off, indicating proper care. Soft stools are normal, alcohol may irritate circumcision sites, and hourly nursing is excessive.