NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
The nurse is caring for a 4-year-old client with cystic fibrosis who uses a high-frequency chest wall oscillation (HFCWO) vest for chest physiotherapy. After reinforcing education with the client's parents, which statement by a parent requires further teaching?
Correct Answer: A
Rationale: Eating during HFCWO vest use can increase the risk of aspiration or reduce therapy effectiveness, indicating a need for further teaching. Bronchodilators during therapy, manual percussion as a backup, and the described frequency are appropriate.
Question 2 of 5
The nurse is caring for a client on droplet precautions who has a prescription for a CT scan. When transporting the client to radiology, the nurse should ensure that the transporter uses protective equipment correctly to reduce the environmental spread of infection when the client is outside the room. Which instruction should the nurse give the transporter?
Correct Answer: A
Rationale: Droplet precautions are used to prevent transmission of respiratory infection. These precautions include the use of a mask and a private room. When the client is in the room, staff should wear masks and follow standard precautions. The client on droplet precautions should wear a mask at all times when outside the hospital room.
Question 3 of 5
The nurse is reinforcing teaching to a client, gravida 1 para 0, at 8 weeks gestation about expected weight gain during pregnancy. The client's prepregnancy BMI is 21 kg/m?. Which statement made by the client indicates an appropriate understanding about weight gain?
Correct Answer: B
Rationale: Appropriate weight gain during pregnancy decreases risks to the client and fetus. Optimal weight gain is determined by prepregnancy BMI. Underweight clients need to gain more weight (~1 lb [0.5 kg] per week) during the second and third trimesters of pregnancy than obese clients (~0.5 lb [0.2 kg] per week). However, weight gain in the first trimester should be 1.1-4.4 lb (0.5-2.0 kg), regardless of BMI.
Question 4 of 5
A 12-month-old is found to have a moderately elevated blood lead level. Which of the following is the most serious concern for this child?
Correct Answer: C
Rationale: Elevated lead levels primarily cause neurocognitive impairment in children, affecting brain development and leading to learning and behavioral issues. Gastrointestinal bleeding, growth retardation, and liver injury are less common or less severe consequences.
Question 5 of 5
A 26-year-old woman with a history of heart disease is admitted in labor. She has been on bed rest for four months to prevent dyspnea. During labor, this client is likely to receive which of the following?
Correct Answer: D
Rationale: Epidural anesthesia minimizes cardiac stress and pain in labor for a patient with heart disease, safer than general anesthesia or Valsalva pushing.