NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
The nurse is caring for a client with suspected tracheoesophageal fistula and esophageal atresia. The nurse is most likely to observe
Correct Answer: A
Rationale: Tracheoesophageal fistula and esophageal atresia prevent normal swallowing, leading to pooling of saliva and excessive salivation. Abdominal distension or vomiting may occur in some cases, but salivation is the most consistent sign. Diminished lung sounds are less specific.
Question 2 of 5
A client with Ebola was just admitted to the unit. Which actions by the nurse would represent appropriate care of this client? Select all that apply.
Correct Answer: B,C,E
Rationale: Keeping the door closed, maintaining a log, and restricting visitors minimize Ebola transmission risk. The client does not need an N95 respirator, and gloves should be removed after gown and mask to prevent contamination.
Question 3 of 5
A client’s partner asks the nurse if ‘staring off into space’ is a seizure because the client ‘does that sometimes when having a seizure.’ Which response from the nurse is the most helpful?
Correct Answer: A
Rationale: Explaining that absence seizures can appear as staring or daydreaming educates the partner accurately and encourages reporting without alarm. Dismissing the concern, assuming it’s a seizure, or discouraging monitoring is unhelpful and potentially unsafe.
Question 4 of 5
The nurse is contributing to the plan of care for a client with diabetes who reports breast tenderness, vaginal discharge, and urinary frequency. Which action is most important to include in the plan of care?
Correct Answer: C
Rationale: Determining the date of the client's last menstrual period is critical to assess for pregnancy or menopausal changes, which could explain the symptoms and impact diabetes management. Breast self-exams and vaginal discharge characteristics are less urgent, and blood sugar logs, while important, are not directly related to the reported symptoms.
Question 5 of 5
The nurse is teaching a client about the use of Rifampin for prophylaxis after an exposure to meningitis. What change in bodily functions should the nurse advise the client about?
Correct Answer: C
Rationale: Rifampin causes body fluids to turn orange, potentially staining soft contact lenses permanently. The other effects are not associated with Rifampin. Safety and Infection Control