NCLEX-PN
NCLEX PN Practice Test Questions
Extract:
Question 1 of 5
The nurse is providing first aid at an outdoor festival when a client reports dizziness and weakness. The client is flushed, sweating, nauseated, and slightly tachycardic. Which action is most appropriate at this time?
Correct Answer: D
Rationale: Symptoms suggest heat exhaustion. Moving to a cool area and providing fluids (
D) is the first step. EMS (
A) is premature, leaving (
B) delays care, and intoxication (
C) is not indicated.
Question 2 of 5
A client with asthma was recently prescribed fluticasone/salmeterol. After the client has received instructions about this medication, which statement would require further teaching by the nurse?
Correct Answer: B
Rationale: Fluticasone/salmeterol is a maintenance medication for asthma, not a rescue inhaler for acute attacks. Statement B indicates a misunderstanding, requiring further teaching to clarify that a short-acting bronchodilator (e.g., albuterol) should be used for acute symptoms. Rinsing the mouth (
A) prevents oral thrush from the steroid component. Quitting smoking (
C) and receiving a vaccine (
D) are positive health behaviors not requiring correction.
Question 3 of 5
A child with a high level of school absenteeism is diagnosed with separation anxiety disorder. The school nurse should remind the child’s parent to take what action?
Correct Answer: C
Rationale: Gradual exposure to school, starting with partial attendance (
C), helps desensitize the child to separation anxiety. Staying home (
A) reinforces avoidance, schoolwork at home (
B) delays reintegration, and parental presence (
D) hinders independence.
Question 4 of 5
The nurse enters the room of a client who had major abdominal surgery 1 week ago and notes dehiscence and evisceration of the surgical incision. The nurse should immediately place the client in the
Correct Answer: A
Rationale: Low Fowler with knees bent (
A) reduces abdominal tension, preventing further evisceration while awaiting surgical intervention. Prone (
B), supine flat (
C), or side-lying (
D) increase strain or risk organ protrusion.
Question 5 of 5
Which medication prescriptions should the nurse question? Select all that apply.
Correct Answer: A,C,E
Rationale: Cephalexin (
A) is contraindicated in penicillin allergy due to cross-reactivity risk. Ibuprofen (
C) can trigger bronchospasm in aspirin-exacerbated respiratory disease, common in asthma with nasal polyps. Propranolol (E) is contraindicated in asthma due to beta-blockade causing bronchoconstriction. Fexofenadine (
B) is safe for hives, and lisinopril (
D) is appropriate for diabetes to protect kidneys.