NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Question 1 of 5
The nurse is observing a staff member collecting a sputum specimen from a client with active tuberculosis. The nurse should intervene if the staff member is observed
Correct Answer: A
Rationale: Leaving supplies (
A) in a TB room risks contamination. Gloves before gown (
B), dedicated stethoscope (
C), and N95 with face shield (
D) are appropriate.
Question 2 of 5
A new mother asks the nurse when the baby's umbilical cord will fall off. The nurse replies that it usually takes how many days to detach?
Correct Answer: C
Rationale: The umbilical cord typically detaches within 7-10 days as it dries and separates naturally, a standard newborn care fact.
Question 3 of 5
A client using a diaphragm should be instructed to:
Correct Answer: A
Rationale: Leaving a diaphragm in place longer than 8 hours increases infection risk. Resizing is needed for significant weight changes (e.g., 10+ pounds) or post-surgery, not minor changes.
Question 4 of 5
The nurse is reinforcing instructions about the use of regular and neutral protamine Hagedorn (NPH) insulin. Which statement by the client indicates that further instruction is needed?
Correct Answer: B
Rationale: Eating 30 minutes after NPH and regular insulin (
B) risks hypoglycemia, as regular insulin acts within 30 minutes. Checking glucose (
A), using new syringes (
C), and sliding scale for regular insulin (
D) are correct.
Question 5 of 5
One month ago, a client was prescribed phenytoin 100 mg orally 3 times daily. The client's current serum phenytoin level is 32 mcg/mL (127 μmol/L). Which action by the health care provider does the nurse anticipate?
Correct Answer: B
Rationale: A phenytoin level of 32 mcg/mL is toxic (therapeutic range: 10-20 mcg/mL), so the dose should be decreased (
B). Continuing (
A) or increasing (
C) the dose risks toxicity. Repeating the level (
D) delays intervention.