NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
The nurse is caring for a client who had an endoscopic procedure yesterday to stop upper gastrointestinal bleeding and who started a clear liquid diet today. Which of the following foods would be appropriate to offer to this client? Select all that apply.
Correct Answer: A, B, C, E
Rationale: Clear liquids include apple juice (
A), chicken broth (
B), cranberry juice (
C), and unsweetened tea (E). Cream of chicken soup (
D) and ice cream (F) are not clear liquids.
Question 2 of 5
The nurse is caring for a client who had a chest tube inserted and attached to portable water seal drainage two days ago. There is no bubbling in the water seal chamber. What should the nurse assess initially?
Correct Answer: C
Rationale: No bubbling may indicate lung reexpansion or system issues; auscultating lungs assesses reexpansion or complications like pneumothorax. Other assessments are secondary.
Question 3 of 5
The nurse is caring for a hospitalized client diagnosed with thyrotoxicosis (thyroid storm). Which action is most appropriate to assign to unlicensed assistive personnel?
Correct Answer: B
Rationale: Lowering room temperature (
B) is within UAP scope and helps manage hyperthermia. Calling family (
A), teaching (
C), and applying a warming blanket (
D) are inappropriate or require nursing judgment.
Question 4 of 5
A client continually repeats phrases that others have just said. The nurse recognizes this behavior as
Correct Answer: C
Rationale: Echolalia is repeating words or phrases heard before, often seen in certain psychiatric or developmental conditions.
Question 5 of 5
The nurse reinforces education to the parent of a child who was diagnosed with attention-deficit hyperactivity disorder and received a prescription of methylphenidate. Which statement by the parent best demonstrates that teaching has been effective?
Correct Answer: C
Rationale: Taking methylphenidate before 6:00 PM (
C) prevents sleep disruption, indicating effective teaching. Diet changes (
A), self-management (
B), and no monitoring (
D) are incorrect or incomplete.