NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
The nurse is providing diversional activities for a 4-year-old client who is on long-term, strict bed rest. Which of the following toys would be most appropriate to provide for the client?
Correct Answer: C
Rationale: Soap bubbles are safe, engaging, and can be used while on strict bed rest, promoting activity without physical exertion. Card and board games may require setup or movement, and a medical kit may cause anxiety.
Question 2 of 5
The nurse is caring for a client who had a laparoscopic cholecystectomy 3 days ago. The client's WBC count has increased over the past 2 days. Which assessment finding is most concerning?
Correct Answer: D
Rationale: A stiff abdomen with rebound tenderness suggests peritonitis, a life-threatening complication post-cholecystectomy, requiring immediate intervention. Shoulder pain is common due to referred pain, drainage and incision redness suggest localized infection, and a cough may indicate a respiratory issue, but peritonitis is most urgent.
Question 3 of 5
The nurse is reinforcing teaching on nutritional therapy for a client with chronic kidney disease. Which statement indicates that further teaching is needed?
Correct Answer: B
Rationale: Salt substitutes often contain potassium, which is restricted in chronic kidney disease due to impaired kidney excretion. This statement indicates a misunderstanding. The other statements correctly reflect sodium restriction, phosphorus restriction, and fluid intake considerations.
Question 4 of 5
When counseling parents of a child who has recently been diagnosed with hemophilia, what must the nurse know about the offspring of a normal father and a carrier mother?
Correct Answer: D
Rationale: There is a 25% chance a daughter will be a carrier. Hemophilia A is sex-linked recessive, with a 25% chance of a carrier female per pregnancy.
Question 5 of 5
The nurse is reinforcing teaching with a client who is starting to use a cervical cap for contraception. Which client statement would require follow-up?
Correct Answer: C
Rationale: Leaving the cervical cap in for at least 24 hours increases infection risk; it should remain for 6-8 hours post-intercourse. Applying spermicide and inserting hours before intercourse are correct practices for effective use.