NCLEX-PN
NCLEX Practice Test PN Questions
Extract:
Question 1 of 5
The nurse is caring for a hospitalized adult who is receiving a blood transfusion. Twenty minutes after the start of the transfusion, the client complains of feeling cold and is shivering. What is the best first action for the LPN to take?
Correct Answer: D
Rationale: Shivering and feeling cold during a transfusion suggest a possible transfusion reaction, requiring immediate cessation of the transfusion to prevent further complications, followed by vital signs and physician notification.
Question 2 of 5
A nursing assistant assigned to care for a client with a radium implant tells the nurse, 'I don't want to be assigned to that radioactive patient.' The best action for the nurse to take is to:
Correct Answer: D
Rationale: Asking why the nursing assistant is afraid addresses her concerns and allows education. Claiming the body shields radiation is inaccurate. Calling her uncaring is unprofessional. Lead aprons are not typically used for implants.
Question 3 of 5
During the admission bath, the nurse notes a region of impaired skin under a large sacral dressing. Which of the following actions by the nurse are appropriate? Select all that apply.
Correct Answer: A,C,D,E
Rationale: A nutrient-rich diet (
A) supports wound healing. Cleansing with saline (
C) prevents infection. A hydrophilic dressing (
D) promotes a moist healing environment. Frequent repositioning (E) reduces pressure on the impaired skin.
Question 4 of 5
Which one of these tasks can be safely delegated to a practical nurse (PN)?
Correct Answer: C
Rationale: Provide stoma care for a client with a well functioning ostomy. The care of a mature stoma and the application of an ostomy appliance may be delegated to a PN. This client has minimal risk of instability of the situation.
Question 5 of 5
The nurse is assigned to care for 4 clients. Which of the following should be assessed immediately after hearing the report?
Correct Answer: B
Rationale: The client with a peptic ulcer who has been vomiting all night. Persistent vomiting can lead to dehydration, electrolyte imbalances, and potential complications such as perforation or bleeding in a client with a peptic ulcer, requiring immediate assessment.