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
The nurse is preparing to take a toddler's blood pressure for the first time. Which of the following actions should the nurse perform first?
Correct Answer: D
Rationale: Permit handling the equipment before putting the cuff in place. The best way to gain the toddler's cooperation is to encourage handling the equipment. Detailed explanations are not helpful.
Question 3 of 5
Following cardiac surgery, a client's urine output for the last hour is 20 mL. The nurse understands that this indicates which of the following?
Correct Answer: B
Rationale: Low urine output (20 mL/hour) post-cardiac surgery suggests insufficient cardiac output, impairing renal perfusion. Hyperkalemia, inadequate fluids, or diuresis are less likely causes without additional signs.
Question 4 of 5
An 8-year old is admitted with drooling, muffled phonation and a temperature of 102.6°. The nurse should immediately notify the doctor because the child's symptoms are suggestive of:
Correct Answer: B
Rationale: Drooling, muffled phonation, and fever suggest epiglottitis, a medical emergency requiring immediate intervention due to the risk of airway obstruction.
Question 5 of 5
A client scheduled for electroconvulsive therapy tells the nurse, 'I'm so afraid. What will happen to me during the treatment?' Which of the following statements is most therapeutic for the nurse to make?
Correct Answer: A
Rationale: Explaining that medication will relax the client addresses their fear and provides reassurance about the procedure's safety, making it the most therapeutic response.