NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
The nurse is performing a dressing change for a client with an infected wound. Which actions by the aide indicate adherence to appropriate infection control procedures? Select all that apply.
Correct Answer: A,C
Rationale: Encasing the dressing in a glove and washing hands before and after glove use prevent contamination. Saving sterile supplies compromises sterility, and wrapping in paper towels before regular trash disposal risks infection spread; biohazard disposal is required.
Question 2 of 5
At a routine clinic visit, parents express concern that their 4 year-old is wetting the bed several times a month. What is the nurse's best response?
Correct Answer: B
Rationale: How long has this been occurring? Nighttime control is expected by age 4 but may not occur until age 5. Assessing the duration helps determine if further evaluation is needed.
Question 3 of 5
The nurse is caring for a 4-year-old client with cystic fibrosis who uses a high-frequency chest wall oscillation (HFCWO) vest for chest physiotherapy. After reinforcing education with the client's parents, which statement by a parent requires further teaching?
Correct Answer: A
Rationale: Eating during HFCWO vest use can increase the risk of aspiration or reduce therapy effectiveness, indicating a need for further teaching. Bronchodilators during therapy, manual percussion as a backup, and the described frequency are appropriate.
Question 4 of 5
A new nurse on the unit notes that the nurse manager seems to be highly respected by the nursing staff. The new nurse is surprised when one of the nurses states: 'The manager makes all decisions and rarely asks for our input.' The best description of the nurse manager's management style is
Correct Answer: C
Rationale: Autocratic or authoritarian. The manager’s decision-making without staff input indicates an autocratic leadership style.
Question 5 of 5
The nurse is contributing to the plan of care for a newly admitted client with schizophrenia who is experiencing persecutory delusions. Which of the following interventions should the nurse suggest including in the client's plan of care?
Correct Answer: B
Rationale: Focusing on the client's feelings related to delusions helps build trust and validates their emotional experience without reinforcing the delusion. Exploring meanings or challenging delusions directly can escalate distress or resistance, as delusions are fixed beliefs in schizophrenia.