NCLEX-PN
NCLEX PN Exam Practice Test Questions
Extract:
Question 1 of 5
The nurse is making a home visit to the mother of an 8-lb baby boy born five days ago. Which observation indicates that the mother understands the care of the newborn?
Correct Answer: B
Rationale: Sponge baths are appropriate for newborns until the umbilical cord falls off, indicating proper care. Soft stools are normal, alcohol may irritate circumcision sites, and hourly nursing is excessive.
Question 2 of 5
The nurse is caring for a client who had a colostomy two days ago. Which comment the client makes indicates a readiness to learn about caring for the colostomy?
Correct Answer: B
Rationale: Asking about the bag's purpose shows curiosity and readiness to learn about colostomy care. Other comments reflect denial, frustration, or lack of engagement with care.
Question 3 of 5
The nurse is evaluating the security of the client's tracheostomy ties. Which of the following methods is used to assess for tie tightness?
Correct Answer: A
Rationale: Placing one finger between the tie and neck ensures ties are secure but not overly tight, preventing tissue damage or airway obstruction.
Question 4 of 5
A client is able to partially bear weight and follow the nurse's instructions. Which would be the most appropriate method for the nurse to use to safely transfer this client?
Correct Answer: A
Rationale: A 1-person stand and pivot with a gait belt and walker is appropriate for a client who can partially bear weight and follow instructions. Other methods are either insufficient or overly complex.
Question 5 of 5
The nurse is assessing a client who had surgery 12 hours ago and is receiving IV morphine for incisional pain. It would require immediate follow-up if the client
Correct Answer: C
Rationale: Burning at the IV site suggests possible extravasation or phlebitis, which can lead to tissue damage or infection, requiring immediate intervention. Low blood pressure, falling asleep, and dizziness are less urgent and can be associated with morphine's expected effects.