NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Question 1 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 2 of 5
A client who has been waiting for several hours in the clinic waiting room suddenly begins to shout, 'I need some attention and I need it now!' How should the nurse respond initially?
Correct Answer: C
Rationale: Engaging the client to assess her needs de-escalates agitation and addresses concerns. Silencing, calling security, or explaining delays may escalate tension.
Question 3 of 5
The nurse prepares a 7-year-old client for an influenza injection. The nurse explains that the client will receive 'medicine under the skin,' and the client is visibly anxious. Which nursing intervention is appropriate?
Correct Answer: D
Rationale: Hiding the needle (
D) reduces anxiety. Counting (
A) may not distract enough, holding arms (
B) can increase fear, and denying pain (
C) is dishonest.
Question 4 of 5
The home health nurse is reinforcing teaching for a client with atrial fibrillation who is prescribed digoxin 0.25 mg orally on even-numbered days. Which client statement will require further teaching about digoxin?
Correct Answer: D
Rationale: Taking blood pressure (
D) is unrelated to digoxin monitoring. Anorexia (A Anorexia (
A), dizziness (
B), and visual changes (
C) are signs of digoxin toxicity, requiring provider notification.
Question 5 of 5
The client with a colostomy does not feel that the irrigating solution has drained completely. The nurse can enhance the effectiveness of the colostomy irrigation by telling the client to:
Correct Answer: A
Rationale: Gentle abdominal massage can stimulate peristalsis and help the irrigation solution drain completely from the colostomy. Reducing solution or using a heating pad is not standard, and increasing oral intake is unrelated.