NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client diagnosed with a deep venous thrombosis 1 day ago. Which action by the client would require an immediate intervention by the nurse?
Correct Answer: D
Rationale: Massaging the leg (
D) risks dislodging the clot, causing embolism, requiring immediate intervention. Ambulation (
A), warm compresses (
B), and elevation (
C) are appropriate.
Question 2 of 5
A nurse manager considers changing staff assignments from 8 hour shifts to 12 hour shifts. A staff-selected planning committee has approved the change, yet the staff are not receptive to the plan. As a change agent, the nurse manager should first
Correct Answer: B
Rationale: The manager is ultimately responsible for delivery of care and yet has given a committee chosen by staff the right to approve or disapprove the change. Planned change involves exploring barriers and restraining forces before implementing change.
To smooth acceptance of the change, restraining factors need to be evaluated.
Question 3 of 5
The nurse is talking with the parents of a 4-year-old client. The parents are concerned because the client was previously toilet trained but has started wetting the bed again while hospitalized. Which of the following responses would be most appropriate for the nurse to make?
Correct Answer: D
Rationale: Regression, such as bedwetting, is common in hospitalized children due to stress (
D). Reinforcing toileting behaviors (
A) may help but doesn't address the underlying cause. Fluid restriction (
B) is not appropriate without medical indication. Assuming misbehavior (
C) dismisses the emotional impact of hospitalization.
Question 4 of 5
The nurse is caring for a client suspected of having hepatitis A. Which item in the client's history is most likely related to the development of hepatitis A?
Correct Answer: B
Rationale: Hepatitis A is transmitted via the fecal-oral route, often in areas with poor sanitation like parts of India. Blood donation, transfusions, or cholecystectomy are not typical risk factors.
Question 5 of 5
An adult client was admitted for congestive heart failure today. An IV is running. The nurse enters the room and notes that the client is having increased difficulty breathing. Before calling the physician, what action should the nurse take?
Correct Answer: D
Rationale: Raising the head of the bed improves breathing in congestive heart failure by reducing pulmonary congestion. Increasing IV rate, supine positioning, or questioning delays intervention.