NCLEX-PN
NCLEX PN Exam Practice Test Questions
Extract:
Question 1 of 5
The nurse is talking with the parent of a 6-year-old client about how to share details of the client's adoption. Which of the following thought processes would be consistent with the expected cognitive development of the client?
Correct Answer: B
Rationale: At age 6, children can imagine scenarios like life with biological parents, consistent with concrete operational thinking. Other options reflect older or atypical development.
Question 2 of 5
What is the best way that parents of pre-schoolers can begin teaching their child about injury prevention?
Correct Answer: A
Rationale: Set good examples themselves. The preschool years are the time for parents to begin emphasizing safety principles as well as providing protection. Setting a good example themselves is crucial because of the imitative behaviors of pre-schoolers, they are quick to notice discrepancies between what they see and what they are told.
Question 3 of 5
The nurse is caring for an adult who is admitted with severe nausea, vomiting, and diarrhea. During the last eight hours, the client has had 1000 mL of IV fluids and 100 mL of fluid from ice chips. The client has vomited a total of 600 mL and had four large diarrheal stools. The urine output for the last eight hours is 350 mL. The best interpretation of these data is that the client:
Correct Answer: C
Rationale: Significant fluid losses from vomiting and diarrhea exceed intake, and low urine output indicates dehydration risk.
Question 4 of 5
The nurse notes that a client with COPD demonstrates increased dyspnea in certain positions. Which position is most likely to lessen the client's dyspnea?
Correct Answer: B
Rationale: The client with chronic obstructive pulmonary disease has increased difficulty breathing when lying down. His respiratory effort is improved by standing or sitting upright or by having the bed in high Fowler's position. Answers A, C, and D do not alleviate the client's dyspnea; therefore they are incorrect.
Question 5 of 5
The nurse is attending an end-of-year school family picnic. Which situation needs an immediate intervention?
Correct Answer: B
Rationale: A 3-year-old alone in a wading pool is at immediate risk of drowning, requiring urgent intervention. A poses a choking risk but is less immediately life-threatening. C and D are age-appropriate activities with lower immediate risk.