NCLEX-PN
NCLEX PN Exam Practice Test Questions
Extract:
Question 1 of 5
The nurse is caring for a postoperative client with a Hemovac drain. Which task request is inappropriate for the nurse to make to the experienced unlicensed assistive personnel?
Correct Answer: A
Rationale: Changing a sterile dressing is a nursing task requiring sterile technique, inappropriate for unlicensed personnel. Measuring, recording, and compressing the Hemovac are within their scope.
Question 2 of 5
The new graduate nurse interviews for a position in a nursing department of a large health care agency, described by the interviewer as having shared governance. Which of these statements best illustrates the shared governance model?
Correct Answer: B
Rationale: Nursing departments share responsibility for client outcomes. Shared governance or self-governance is a method of organizational design that promotes empowerment of nurses to give them responsibility for client care issues.
Question 3 of 5
A client is admitted to the emergency room with renal calculi and is complaining of moderate to severe flank pain and nausea. The client's temperature is 100.8 degrees Fahrenheit. The priority nursing goal for this client is
Correct Answer: C
Rationale: Manage pain. The immediate goal of therapy is to alleviate the client's pain, which can be quite severe with kidney stones.
Question 4 of 5
The nurse has just completed a dressing change on an elderly client who is allowed bathroom privileges. Which action is most essential for the nurse to take before leaving the client's bedside?
Correct Answer: A
Rationale: Hand washing prevents infection transmission post-dressing change, a critical step. Lowering the bed, toileting, or pain assessment are secondary.
Question 5 of 5
A 6 year-old female is diagnosed with recurrent urinary tract infections (UTIs). Which one of the following instructions would be best for the nurse to tell the caregiver?
Correct Answer: C
Rationale: Use plain water for the bath, shampooing hair last. Hair should be shampooed last with a rinsing of plain water over the genital area. The oils in soaps and bubble bath can cause irritation, which may lead to UTIs in young girls.