NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
The nurse is reinforcing teaching to a client, gravida 1 para 0, at 8 weeks gestation about expected weight gain during pregnancy. The client's prepregnancy BMI is 21 kg/m?. Which statement made by the client indicates an appropriate understanding about weight gain?
Correct Answer: B
Rationale: Appropriate weight gain during pregnancy decreases risks to the client and fetus. Optimal weight gain is determined by prepregnancy BMI. Underweight clients need to gain more weight (~1 lb [0.5 kg] per week) during the second and third trimesters of pregnancy than obese clients (~0.5 lb [0.2 kg] per week). However, weight gain in the first trimester should be 1.1-4.4 lb (0.5-2.0 kg), regardless of BMI.
Question 2 of 5
The nurse is observing client care activities on the unit. It would require completion of an incident report if
Correct Answer: B
Rationale: Administering escitalopram within 24 hours of phenelzine, a monoamine oxidase inhibitor, risks serotonin syndrome, a life-threatening condition, requiring an incident report. Holding clozapine for low neutrophils, holding isosorbide for low blood pressure, and giving warfarin for a normal INR are appropriate actions.
Question 3 of 5
The nurse has attended a staff education program about ethical practices in nursing. Which of the following statements by the nurse would indicate a correct understanding of the program? Select all that apply.
Correct Answer: A,D,E
Rationale: Accountability involves taking responsibility for errors (
A). Fidelity is keeping promises, such as timely medication delivery (
D). Nonmaleficence includes preventing harm by reporting abuse (E). Autonomy respects the client's decision-making, not family decisions (
B), and confidentiality does not extend to withholding suicidal ideation, which requires intervention (
C).
Question 4 of 5
The practical nurse is caring for a client with newly diagnosed infective endocarditis. Which assessment finding by the nurse is the most concerning?
Correct Answer: A
Rationale: Pain and pallor in one foot suggest an embolic event, a serious complication of infective endocarditis that could lead to tissue ischemia or infarction, requiring urgent intervention. Knee pain, splinter hemorrhages, and mild fever are less immediately threatening.
Question 5 of 5
The nurse is caring for a client with newly prescribed hearing aids. Which of the following actions by the client indicate proper use and care of hearing aids? Select all that apply.
Correct Answer: B,D,E
Rationale: Lowering TV volume indicates effective hearing aid use, turning volume down prevents feedback, and verifying the battery compartment ensures functionality. Rinsing with water damages hearing aids, and placing them on a food tray risks contamination or loss.