NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Question 1 of 5
The nurse preceptor observes a graduate practical nurse collecting a urine sample for urinalysis and culture as pictured in the exhibit. What is the preceptor's best action?
Correct Answer: C
Rationale: Urine for culture requires a midstream clean catch or catheterization (
C) to avoid contamination. A graduated container (
B) is acceptable if sterile. Discarding (
A) is unnecessary, and cooling (
D) is secondary.
Question 2 of 5
The nurse caring for a terminally ill client asks if the client has an advance directive. The client states, 'I already have a power of attorney.' What is the best response by the nurse?
Correct Answer: D
Rationale: Clarifying if the POA includes healthcare decisions (
D) ensures proper advance directive planning. Vague affirmations (A,
B) or suggesting a lawyer (
C) do not address the need for a healthcare-specific POA.
Question 3 of 5
A client with a 10-year history of major depressive disorder has relapsed and is now hospitalized. The client is currently on phenelzine and weighs 115 lb (52.2 kg) but weighed 150 lb (68 kg) 3 months before admission. Which foods would be best for this client?
Correct Answer: C
Rationale: Phenelzine, an MAOI, requires avoiding tyramine-rich foods like cheese (
A) to prevent hypertensive crisis. Fish and potatoes (
C) are safe and nutritious. Eggs (
B) and avocado (
D) are safe but less balanced.
Question 4 of 5
A 2-year-old who swallowed an overdose of adult cough syrup is being discharged from the emergency department. The parent says to the nurse, 'From now on, I'm going to store all medicines in my top dresser drawer.' Which is the best response by the nurse?
Correct Answer: A
Rationale: A locked drawer (
A) ensures safety. Childproof caps (
B) are helpful but insufficient alone. The plan (
C) is unsafe without a lock, and constant supervision (
D) is unrealistic.
Question 5 of 5
An alert adult is being admitted for elective surgery. Which comment made by the client indicates a need for more instruction regarding advance directives?
Correct Answer: B
Rationale: Advance directives allow clients to specify care preferences, not relinquish decision-making entirely. This comment suggests a misunderstanding that requires further education.