NCLEX-PN
NCLEX PN Practice Test Questions
Extract:
Question 1 of 5
The nurse on the mental health unit is talking with a client with schizophrenia. Which of the following statements by the client would indicate that the client is experiencing a delusion of reference?
Correct Answer: C
Rationale: A delusion of reference involves believing neutral events or objects (e.g., a song on the radio) have personal significance or hidden messages (
C). Auditory hallucinations (
A) involve hearing voices, not reference. Tactile hallucinations (
B) involve false sensations, and persecutory delusions (
D) involve belief in harm without reference to neutral stimuli.
Question 2 of 5
The nurse is drawing blood from a client's peripheral vein for laboratory specimens. Which of the following are correct nursing actions? Select all that apply.
Correct Answer: A,C
Rationale: A tourniquet left on too long (
A) can cause hemoconcentration, so it should be removed after 1 minute. Pulsating blood (
C) indicates arterial puncture, requiring immediate needle withdrawal and pressure to prevent hematoma. Wet alcohol (
B) can cause hemolysis, and the ventral wrist (
D) is a risky site due to nerves and arteries. Vigorous shaking (E) damages blood cells, so gentle inversion is preferred.
Question 3 of 5
The nurse has reinforced teaching with the parent of a 3-year-old client who has acute diarrhea. Which of the following statements by the parent would require follow-up?
Correct Answer: C
Rationale: The BRAT diet (
C) is outdated and may lack nutrients, risking prolonged recovery. Skin barrier cream (
A), frequent fluids (
B), and monitoring urine output (
D) are appropriate for preventing skin breakdown, dehydration, and detecting complications.
Question 4 of 5
During an initial prenatal visit, the practical nurse is reviewing the history of a client at 10 weeks gestation. Which finding is a priority to report to the registered nurse?
Correct Answer: A
Rationale: Pet cats (
A) pose a toxoplasmosis risk, which can cause fetal harm, requiring immediate education and possible testing. Weight gain (
B) is normal, milky discharge (
C) is typical in pregnancy, and swimming (
D) is safe.
Question 5 of 5
The nurse is caring for a 7 year-old child who is being discharged following a tonsillectomy. Which of the following instructions is appropriate for the nurse to teach the parents?
Correct Answer: A
Rationale: Report a persistent cough to the health care provider. Persistent coughing may indicate bleeding, which requires immediate attention.