NCLEX-PN
NCLEX Practice Test PN Questions
Extract:
Question 1 of 5
The nurse is walking through a crowded waiting room when the respiratory therapist approaches the nurse and asks, 'How is the client in room 312?' Which of the following responses would be most appropriate for the nurse to make?
Correct Answer: D
Rationale: Discussing client information in a crowded area risks breaching confidentiality. Moving to a private area ensures compliance with HIPAA and protects client privacy.
Question 2 of 5
The nurse is contributing to the plan of care for an 8-year-old client with autism spectrum disorder. Which of the following interventions should the nurse suggest including in the client's plan of care? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Consistency in schedule (
A), parental presence (
B), familiar staff (
C), and a private room with familiar items (
D) reduce anxiety in children with autism. Therapeutic touch (E) may be distressing due to sensory sensitivities.
Extract:
Laboratory reference ranges
Glucose (random)
71-200 mg/dL
(3.9–11.1 mmol/L)
Question 3 of 5
The nurse is caring for assigned clients. Which of the following clients should the nurse check first?
Correct Answer: C
Rationale: A blood glucose level of 55 mg/dL indicates severe hypoglycemia, a life-threatening condition requiring immediate intervention to prevent seizures or coma.
Extract:
Question 4 of 5
The nurse is screening clients for those at risk for developing a pressure injury. At highest risk for developing a pressure injury is the client
Correct Answer: D
Rationale: Clients with quadriplegia are at high risk due to immobility, which impairs circulation and increases pressure on skin. Moist skin increases the risk of skin breakdown, and elevated temperature may indicate infection or inflammation, further increasing risk.
Question 5 of 5
The nurse is suctioning the tracheostomy of an adult client. The recommended pressure setting is:
Correct Answer: C
Rationale: Suction pressure of 80-120 mm Hg is recommended for adult tracheostomy suctioning to effectively remove secretions without causing trauma.