NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
The nurse is collecting data from an 18-month-old client. The nurse should suggest referral for a developmental screening test if the client
Correct Answer: D
Rationale: An 18-month-old should have a vocabulary of 10-20 words. A vocabulary of only 5 words indicates a potential speech delay, warranting developmental screening. Noticing others' emotions develops later, finger-eating is normal, and following 1-step commands is age-appropriate.
Question 2 of 5
The nurse is caring for a client who had a transsphenoidal hypophysectomy and developed diabetes insipidus. Which of the following findings would the nurse expect to observe? Select all that apply.
Correct Answer: A,B,C
Rationale: Diabetes insipidus results from antidiuretic hormone deficiency, causing excessive thirst, increased dilute urine output, and increased serum osmolality due to water loss. Serum sodium may increase, not decrease, and urine specific gravity is low due to dilute urine.
Question 3 of 5
A client has had a tracheostomy for 2 weeks after a motor vehicle accident. Which task could the RN safely delegate to unlicensed assistive personnel (UAP)?
Correct Answer: B
Rationale: Unlicensed assistive personnel should be able to perform routine tracheostomy care, such as changing trach ties, which is a standard, low-risk task.
Question 4 of 5
A client is admitted with a possible gastric ulcer. Suddenly he calls to the nurse and says, 'It hurts so bad.' The client is pale and diaphoretic. What should the nurse do initially?
Correct Answer: A
Rationale: Sudden severe pain with pallor and diaphoresis suggests ulcer perforation, requiring immediate physician notification for urgent intervention.
Question 5 of 5
The practical nurse is caring for a client with newly diagnosed infective endocarditis. Which assessment finding by the nurse is the most concerning?
Correct Answer: A
Rationale: Pain and pallor in one foot suggest an embolic event, a serious complication of infective endocarditis that could lead to tissue ischemia or infarction, requiring urgent intervention. Knee pain, splinter hemorrhages, and mild fever are less immediately threatening.