NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
The nurse is passing a nasogastric tube into an adult. When passing the tube through the pharynx, the nurse has the client sip water through a straw. What is the purpose of this action?
Correct Answer: C
Rationale: Sipping water during nasogastric tube insertion triggers swallowing, which closes the epiglottis, preventing the tube from entering the trachea and directing it toward the esophagus.
Question 2 of 5
A recovering alcoholic asked the nurse, 'Will it be ok for me to just drink at special family gatherings?' Which initial response by the nurse would be best?
Correct Answer: D
Rationale: A recovering person cannot return to drinking without starting the addiction process over.
Total abstinence is required to maintain recovery.
Question 3 of 5
The nurse is reviewing discharge teaching for a client who had surgical repair of a retinal detachment. Which of the following instructions are appropriate for the nurse to include in the teaching? Select all that apply.
Correct Answer: A, B, D
Rationale: Avoiding rubbing (
A), straining (
B), and reporting sudden pain (
D) prevent complications. Flashes (
C) are not expected and require reporting, and eye rest (E) is unnecessary unless specified.
Question 4 of 5
A 70 year-old post-operative client has elevated serum BUN, HCT, Cl, and Na+. Creatinine and K+ are within normal limits. The nurse should perform additional assessments to confirm that an actual problem is:
Correct Answer: D
Rationale: Fluid volume deficit. In fluid volume deficit, serum BUN, Na+, and hematocrit may be elevated secondary to hemoconcentration.
Question 5 of 5
The nurse is assisting with the admission of a client who attempted suicide after being diagnosed with end-stage kidney disease. It would be a priority for the nurse to
Correct Answer: C
Rationale: Continuous one-to-one observation (
C) is the priority to ensure safety after a suicide attempt. Room assignment (
A), exploring feelings (
B), and mental status exam (
D) are secondary.