NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
The nurse is caring for a newborn 12 hours after an uncomplicated vaginal birth at 39 weeks gestation. Which of the following findings would require follow up? Select all that apply.
Correct Answer: B,D
Rationale: Yellowish skin suggests jaundice, which requires monitoring for bilirubin levels. An umbilical cord with one artery (instead of two) and one vein may indicate congenital anomalies, needing further evaluation. Plantar creases are normal at 39 weeks, the Babinski reflex (toes fanning) is expected, and gum cysts (Epstein pearls) are benign.
Question 2 of 5
Someone who has received a recent tattoo should be screened for:
Correct Answer: C
Rationale: Tattooing with non-sterile equipment risks transmission of hepatitis B or C, blood-borne pathogens. The other infections are not primarily associated with tattooing. Safety and Infection Control
Question 3 of 5
An adult who is being admitted to the medical floor with a bleeding ulcer exhibits all of the following. Which finding suggests that the client may be experiencing alcohol withdrawal symptoms?
Correct Answer: C
Rationale: Tremors are a classic sign of alcohol withdrawal, distinguishing it from bleeding ulcer symptoms like hypotension, dizziness, or pallor.
Question 4 of 5
The nurse is caring for an adult who was admitted for observation following an automobile accident. The client has several lacerations that were sutured in the emergency room and a fractured leg that has been casted. The baseline vital signs are BP=120/72, P=76, and R=16. One hour after arriving on the unit, the client's vital signs are BP=108/68, P=90, and R=22. The nurse most correctly interprets these results to mean that the client may be developing which condition?
Correct Answer: A
Rationale: Decreased BP, increased pulse, and respirations suggest shock, possibly from occult bleeding or trauma response, requiring urgent evaluation.
Question 5 of 5
The nurse is providing diversional activities for a 4-year-old client who is on long-term, strict bed rest. Which of the following toys would be most appropriate to provide for the client?
Correct Answer: C
Rationale: Soap bubbles are safe, engaging, and can be used while on strict bed rest, promoting activity without physical exertion. Card and board games may require setup or movement, and a medical kit may cause anxiety.