NCLEX-PN
NCLEX PN Practice Test Questions
Extract:
Question 1 of 5
The nurse is giving preoperative medication to an adult who is scheduled for surgery. The client says to the nurse that she does not want to have a transfusion during surgery because it is against her religion. The client has signed a consent form for surgery. How should the nurse respond?
Correct Answer: C
Rationale: An addendum to refuse transfusions respects the client's religious beliefs, ensuring informed consent. Other responses dismiss her autonomy or delay care.
Question 2 of 5
The nurse is floated from the obstetrical (OB) floor to the medical/surgical floor. Which client is the best assignment for the OB nurse?
Correct Answer: A
Rationale: The OB nurse’s expertise in pregnancy care makes the pregnant client with a fractured pelvis (
A) the best assignment, as it aligns with their skills in managing maternal-fetal health. Other clients (B, C,
D) require general medical-surgical care unrelated to OB.
Question 3 of 5
The nurse is teaching a smoking cessation class and notices there are 2 pregnant women in the group. Which information is a priority for these women?
Correct Answer: B
Rationale: There is a relationship between smoking and low birth weight. Smoking reduces placental blood flow, contributing to fetal hypoxia and low birth weight.
Question 4 of 5
To maintain Bryant's traction, the nurse must make certain that the child's:
Correct Answer: B
Rationale: Bryant's traction requires hips slightly elevated and legs at a right angle to the bed to align the femur properly and reduce pressure on the pelvis.
Question 5 of 5
A client with gout who was started on allopurinol a week ago calls the health care provider’s office with several concerns. The nurse should recognize which report by the client as being significant and requiring immediate follow-up?
Correct Answer: C
Rationale: A rash (
C) may indicate a hypersensitivity reaction to allopurinol, potentially progressing to severe conditions like Stevens-Johnson syndrome, requiring immediate follow-up. Ibuprofen (
A), urination (
B), and nausea (
D) are less urgent.