NCLEX Questions, PN NCLEX Practice Exam Questions, NCLEX-PN Questions, Nurselytic

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PN NCLEX Practice Exam Questions

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Question 1 of 5

The nurse prepares to insert an indwelling urinary catheter in a client who is disoriented to time, place, and person and cannot follow directions or commands. Which intervention is most important when inserting the urinary catheter?

Correct Answer: B

Rationale: Maintaining a sterile field (
B) is critical to prevent infection, especially in a disoriented client. Explaining the procedure (
A) is ideal but not feasible, kit placement (
C) is secondary, and swab disposal (
D) follows insertion.

Question 2 of 5

A 4-year-old admitted with Wilms tumor is scheduled for a right nephrectomy in the morning. Which nursing action is a priority pre-operatively?

Correct Answer: D

Rationale: Avoiding abdominal palpation (
D) prevents tumor rupture in Wilms tumor, a critical pre-operative priority. Emotional assessment (
A), lung sounds (
B), and BP monitoring (
C) are important but secondary.

Question 3 of 5

The nurse is preparing to give an adult a subcutaneous injection of heparin. What should the nurse check prior to giving the medication?

Correct Answer: D

Rationale: Partial thromboplastin time (PTT) monitors heparin's anticoagulant effect, ensuring safe administration by assessing bleeding risk.

Question 4 of 5

The school nurse is conducting an educational session for middle school teachers that is designed to heighten awareness of school bullying. The nurse recognizes that further instruction is needed when one of the teachers makes which comment?

Correct Answer: A

Rationale: Bullying is not a normal part of development (
A) and requires intervention. Vulnerability of disabled children (
B), underreporting (
C), and verbal aggression (
D) are accurate.

Question 5 of 5

The nurse assists with data collection during a screening event at a gastroenterology clinic. Which of the following client statements include risk factors for esophageal cancer? Select all that apply.

Correct Answer: A,C,D

Rationale: Smoking cigars (
A), heavy alcohol use (
C), and chronic acid reflux (
D) are established risk factors for esophageal cancer. Obesity (
B) is a weaker risk, and salted foods (E) are not directly linked.

Similar Questions

The nurse in the emergency department is caring for a client who has facial lacerations, a suspected fracture of the arm, and multiple bruises at various stages of healing. The client's spouse is at the bedside and appears angry. Which of the following actions would be a priority for the nurse take?
A client is admitted with infective endocarditis (IE). Which finding would alert the nurse to a complication of this condition?
The mother is concerned that her 6-year-old child is eating dirt every day. The nurse is most concerned about which of the following?
The nurse is with a client with obsessive-compulsive disorder who counts backwards several times each day. Which of the following statements by the client would indicate an improvement in the client's condition? Select all that apply.
The nurse is observing a staff member talking with the parent of a pediatric client. The parent is crying and states, 'I do not know what to do about this situation with my child.' The staff member responds, 'I am sure you will do the right thing.' The nurse should recognize that the staff member's response

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