NCLEX-PN
NCLEX PN Exam Practice Test Questions
Extract:
Question 1 of 5
The nurse is reinforcing discharge instructions for a postoperative client who had a partial laryngectomy for laryngeal cancer. The client is concerned because the health care provider said there was damage to the ninth cranial nerve. Which statement made by the nurse is most appropriate?
Correct Answer: D
Rationale: The ninth cranial nerve (glossopharyngeal) is involved in swallowing; damage explains the need for special swallowing techniques, directly addressing the client's concern. A avoids providing information. B is incorrect, as the ninth cranial nerve is not related to hearing. C assumes a speech pathology consult, which may not be relevant to swallowing issues caused by nerve damage.
Question 2 of 5
A client is admitted to the labor and delivery unit in active labor. During examination, the nurse notes a papular lesion on the perineum. Which initial action is most appropriate?
Correct Answer: B
Rationale: Any lesion should be reported to the doctor. This can indicate a herpes lesion. Clients with open lesions related to herpes are delivered by Cesarean section because there is a possibility of transmission of the infection to the fetus with direct contact to lesions. It is not enough to document the finding, so answer A is incorrect. The physician must make the decision to perform a C-section, making answer C incorrect. It is not enough to continue primary care, so answer D is incorrect.
Question 3 of 5
An RN from the women's health clinic is temporarily reassigned to a medical-surgical unit. Which of these client assignments would be most appropriate for this nurse?
Correct Answer: B
Rationale: This client is the most stable, requires basic safety measures and has a predictable outcome.
Question 4 of 5
While caring for a client with a pulmonary embolus, the nurse notes several petechiae on his chest and abdomen. Which action should the nurse take first?
Correct Answer: C
Rationale: Petechiae may indicate a coagulopathy or emboli-related complication, requiring prompt reporting to the physician for further evaluation. Recording and monitoring are secondary, and ice packs are inappropriate.
Question 5 of 5
Which actions by a nurse are reportable to the state board of nursing? Select all that apply.
Correct Answer: A,C,D
Rationale: Administering medication without a prescription, falsifying documentation, and stealing narcotics are reportable to the state board. Tardiness and leaving a shift are not typically reportable.