NCLEX-PN
NCLEX PN Exam Practice Test Questions
Extract:
Question 1 of 5
The nurse is measuring the uterine fundal height of a client at 36 weeks gestation lying in a supine position. The client suddenly reports dizziness, and the nurse observes pallor and damp, cool skin. What should the nurse do first?
Correct Answer: D
Rationale: Symptoms suggest supine hypotensive syndrome; turning the client to a lateral position relieves uterine pressure on the vena cava, improving blood flow.
Question 2 of 5
The clinic nurse is reviewing self-care management of acne vulgaris with an adolescent client. Which client statement indicates a need for further instruction?
Correct Answer: A
Rationale: Scrubbing with antibacterial soap can irritate skin and worsen acne. Noncomedogenic products, a nutritious diet, and avoiding picking are correct practices.
Question 3 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 4 of 5
The nurse is giving instructions to the parents of a child with cystic fibrosis. The nurse would emphasize that pancreatic enzymes should be taken
Correct Answer: C
Rationale: Pancreatic enzymes should be taken with each meal and every snack to allow for digestion of all foods that are eaten.
Question 5 of 5
The nurse is caring for a 75-year-old client who is admitted to the hospital with pneumonia. What assessment finding is most consistent with the diagnosis of delirium?
Correct Answer: B
Rationale: Inattention and disorientation are hallmark signs of delirium, especially in elderly clients with pneumonia. Other findings suggest different conditions.