NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
The nurse is caring for a client admitted with a sickle cell crisis. What assessment finding is not consistent with the diagnosis?
Correct Answer: C
Rationale: Sickle cell crisis typically causes elevated white blood cell counts due to inflammation or infection. Hepatomegaly, jaundice, and pain are consistent findings.
Question 2 of 5
The nurse is preparing to administer ophthalmic timolol maleate to a client with glaucoma. It would require follow-up if the nurse
Correct Answer: C
Rationale: Wiping from outer to inner canthus risks introducing contaminants to the eye. Applying lacrimal duct pressure prevents systemic absorption, pulling the eyelid exposes the sac, and holding the dropper at the correct height ensures safe administration.
Question 3 of 5
A client has had a tracheostomy for 2 weeks after a motor vehicle accident. Which task could the RN safely delegate to unlicensed assistive personnel (UAP)?
Correct Answer: B
Rationale: Unlicensed assistive personnel should be able to perform routine tracheostomy care, such as changing trach ties, which is a standard, low-risk task.
Question 4 of 5
The nurse is assisting in developing the plan of care for a client diagnosed with anorexia nervosa who is being admitted after unsuccessful outpatient treatment. The nurse understands that which client outcome is the priority?
Correct Answer: C
Rationale: In anorexia nervosa, severe malnutrition poses immediate health risks, making increased caloric intake and weight gain the priority to stabilize physical health. Addressing interpersonal skills, coping mechanisms, or emotional conflicts is secondary until nutritional status improves.
Question 5 of 5
A nurse is making a home visit when a fire starts in the client’s kitchen trash can. The client has a fire extinguisher. The nurse should take which actions to properly operate the fire extinguisher? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Using the PASS technique (Pull, Aim, Squeeze, Sweep), the nurse should pull the pin, aim at the fire’s base, squeeze the handle, and sweep side to side to extinguish the fire. Shaking the canister is not required and may delay response.