NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
The nurse prepares to administer a cleansing enema to a client with constipation. Which interventions are appropriate? Select all that apply.
Correct Answer: A,B,C,E
Rationale: Lubricating the tube (
A), left lateral positioning (
B), retaining the enema (
C), and pausing for cramping (E) are correct for safe administration. Refrigerating the solution (
D) is incorrect; it should be at body temperature.
Question 2 of 5
A 15-month-old continually turns his cup upside down and shakes milk from the spout. The mother is convinced that he does this on purpose and asks the nurse what she should do. The nurse's response should be guided by the knowledge that:
Correct Answer: D
Rationale:
Toddlers explore spatial relationships through actions like shaking a cup, not necessarily to misbehave. Attention-seeking or punishment is less relevant.
Question 3 of 5
A 62-year-old client admitted to the telemetry unit after an acute myocardial infarction 3 days ago reports that the left calf is very tender and warm to the touch. Which nursing intervention is the priority?
Correct Answer: D
Rationale: Tenderness and warmth suggest deep vein thrombosis, so a neurovascular check (
D) is the priority to assess for complications. History (
A), ECG (
B), and vitals (
C) are secondary.
Question 4 of 5
Thirty-six hours after major surgery, a client has a temperature of 100°F. What is the most likely cause of the temperature elevation?
Correct Answer: B
Rationale: Atelectasis, due to reduced lung expansion post-surgery, is a common cause of low-grade fever within 24–48 hours. Dehydration, wound infection (typically later), or bladder infection are less likely without specific symptoms.
Question 5 of 5
Which of the following herbal supplements pose an increased risk for bleeding in surgical clients and should be discontinued prior to major surgery? Select all that apply.
Correct Answer: B,C,D
Rationale: Garlic (
B), ginger (
C), and ginkgo biloba (
D) have antiplatelet effects, increasing bleeding risk. Black cohosh (
A) and hawthorn (E) do not significantly affect bleeding.