NCLEX-PN
NCLEX PN Exam Practice Test Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a feeding tube that has become obstructed. Which intervention should the nurse implement first to unclog the tube?
Correct Answer: A
Rationale: Flushing with warm water is the first, safest step to unclog a feeding tube. Enzymes or other solutions are used if water fails, and small syringes may cause excessive pressure.
Question 2 of 5
The clinic nurse is reviewing self-care management of acne vulgaris with an adolescent client. Which client statement indicates a need for further instruction?
Correct Answer: A
Rationale: Scrubbing with antibacterial soap can irritate skin and worsen acne. Noncomedogenic products, a nutritious diet, and avoiding picking are correct practices.
Question 3 of 5
The nurse has attended a staff education program about medication administration during pregnancy. Which of the following medications should the nurse recognize are contraindicated during pregnancy? Select all that apply.
Correct Answer: A,C,D
Rationale: Lisinopril (teratogenic), isotretinoin (severe birth defects), and doxycycline (fetal bone/teeth damage) are contraindicated. Albuterol and levothyroxine are generally safe.
Question 4 of 5
The nurse in the emergency department is caring for assigned clients. The nurse should recognize that which of the following clients meets the criteria for involuntary admission to the mental health unit? Select all that apply.
Correct Answer: A,C
Rationale: Refusal of food and fluids for 4 days indicates imminent risk of harm to self due to dehydration and malnutrition, meeting involuntary admission criteria. 3: Threats of violence suggest potential harm to others, justifying involuntary admission. 2 does not indicate immediate risk, as the client is medication-compliant. 4 reflects unusual behavior but not immediate danger. 5 does not inherently indicate a psychiatric emergency requiring involuntary admission.
Question 5 of 5
The nurse reinforces teaching for a client newly prescribed buspirone for generalized anxiety disorder. Which client statement indicates that teaching has been effective?
Correct Answer: C
Rationale: Buspirone takes 2-4 weeks for full effect, indicating effective teaching. Extra doses are unsafe, driving is generally allowed, and withdrawal is minimal.