NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
The nurse is reviewing the plan of care for a 4-year-old client who will receive daily dressing changes for an infected leg wound. Which of the following interventions should the nurse include in the plan of care for a preschool-age child? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Parental presence provides comfort, clarifying that procedures are not punishment reduces fear, encouraging questions fosters understanding, and bandaging a doll makes the process relatable. Introducing the child to others with the same condition may breach privacy or cause distress.
Question 2 of 5
A client begins a regimen of chemotherapy. Her platelet counts falls to 98,000. Which action is least likely to increase the risk of hemorrhage?
Correct Answer: C
Rationale: Reverse isolation protects against infection but does not affect hemorrhage risk. The other actions directly reduce bleeding risk by detecting or preventing trauma to tissues. Physiological Adaptation
Question 3 of 5
The nurse is caring for several clients who have ostomies. Which client will have the most wellformed drainage? The client whose colostomy is in the:
Correct Answer: D
Rationale: The descending colon absorbs more water, producing well-formed, solid stool compared to the ileum (liquid), ascending colon (semi-liquid), or transverse colon (semi-formed).
Extract:
Vital signs
Temperature 98.6 F (37 C)
Heart rate 146/min
Respirations 42/min
O2 saturation or SpO2 98%
Question 4 of 5
A nurse auscultates a loud cardiac murmur on a newborn with suspected trisomy 21 (Down syndrome). A genetic screen and an echocardiogram are scheduled that day. The neonate’s vital signs are shown in the exhibit. What would be an appropriate action for the nurse to complete next?
Correct Answer: B
Rationale: Documenting the murmur is appropriate as genetic screening and an echocardiogram are already scheduled, indicating the provider is aware. Calling the provider is unnecessary, knee-chest position is for specific heart defects, and oxygen is not indicated without respiratory distress.
Extract:
Question 5 of 5
The client screams at the nurse, 'You are all incompetent here! I have been waiting for 2 hours!' How should the nurse respond initially?
Correct Answer: C
Rationale: Acknowledging the client's frustration and offering assistance de-escalates the situation and focuses on solutions. Threatening security escalates tension, and the other options dismiss the client's feelings or fail to address the issue.