NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Question 1 of 5
The nurse recognizes that it is acceptable for which pair of clients to be assigned to share a semi-private room?
Correct Answer: D
Rationale: Clients with gastroenteritis and chemotherapy-induced diarrhea (
D) have similar non-airborne conditions, making them suitable roommates. Pneumonia (
B) and fever of unknown origin (
C) pose infection risks. Anemia and anorexia (
A) are unrelated but not optimal.
Question 2 of 5
The nurse is caring for a client who has chickenpox with open lesions. Which of the following infection control precautions should the nurse implement?
Correct Answer: A,B,C,D
Rationale: Chickenpox requires airborne and contact precautions: negative pressure room (
A), protecting pregnant staff (
B), masking during transport (
C), and gown, gloves, N95 (
D). Visitor restriction (E) is too short; it lasts until lesions crust.
Question 3 of 5
Which of these clients, all of whom have the findings of a board-like abdomen, would the nurse suggest that the provider examine first?
Correct Answer: A
Rationale: An elderly client who stated, 'My awful pain in my right side suddenly stopped about 3 hours ago.' This client has the highest risk for hypovolemic and septic shock since the appendix has most likely ruptured, based on the history of the pain suddenly stopping over three hours ago. Elderly clients have less functional reserve for the body to cope with shock and infection over long periods. The others are at risk for shock also, however given that they fall in younger age groups, they would more likely be able to tolerate an imbalance in circulation. A common complication of falling off a bicycle is hitting the handle bars in the upper abdomen often on the left, resulting in a ruptured spleen.
Question 4 of 5
The graduate nurse (GN) is caring for a client with a fractured femur in balanced suspension skeletal traction. Which action by the GN will require the precepting nurse to intervene?
Correct Answer: B
Rationale: Lifting traction weights (
B) disrupts alignment and healing, requiring intervention. Hydration and fiber (
A), monitoring sites (
C), and pulse checks (
D) are appropriate.
Question 5 of 5
The practical nurse is assisting the registered nurse in assessing a child with attention-deficit hyperactivity disorder at the clinic for a well-child visit. The client has been taking methylphenidate for a year. What are the priority nursing assessments?
Correct Answer: C
Rationale: Methylphenidate can affect growth (height/weight) and increase blood pressure (
C), making these priority assessments. Attention and activity (
A) are relevant but secondary. Dental health (
B) and social progress (
D) are less critical for medication monitoring.