NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a newborn with patent ductus arteriosus. Which finding would be consistent with the condition?
Correct Answer: C
Rationale: Patent ductus arteriosus causes a loud, machine-like murmur (
C) due to continuous blood flow. Other murmurs (A, B,
D) are associated with different cardiac conditions.
Question 2 of 5
The intensive care nurse is caring for a client who has just been extubated. Which interventions are appropriate at this time?
Correct Answer: B,C,D,E
Rationale: Post-extubation, warmed, humidified oxygen (
B) prevents mucosal drying, ice chips (
C) moisten the mouth, oral sponges (
D) maintain hygiene, and incentive spirometry (E) promotes lung expansion. Oral narcotics (
A) are risky due to potential airway compromise.
Question 3 of 5
A nurse who is evaluating a developmentally challenged 2 year-old should stress which goal when talking to the child's mother?
Correct Answer: C
Rationale: Promoting the child's optimal development. The primary goal is to promote the child's optimum development.
Question 4 of 5
The nurse is reinforcing skin care guidelines for a client who is receiving external radiation therapy. Which of the following statements by the client would indicate a correct understanding of the teaching?
Correct Answer: C,D,E
Rationale: Sun protection (
C), gentle washing (
D), and loose clothing (E) are correct for radiation therapy skin care. Ice packs (
A) can damage skin, and baby oil (
B) may irritate or trap radiation.
Question 5 of 5
The nurse in the mental health unit is talking with several clients during group therapy. A client becomes angry and throws a fire extinguisher at another client. Which of the following actions would be a priority for the nurse to take?
Correct Answer: C
Rationale: Ensuring safety by escorting others away (
C) is the priority. Rapid response (
A) may be premature, approaching the client (
B) risks escalation, and informing of consequences (
D) is secondary.