NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Question 1 of 5
The nurse reinforces education about safety modifications in the home for the spouse of a client diagnosed with Alzheimer disease. What instructions should the nurse include?
Correct Answer: A,B,C,D
Rationale: Clear pathways (
A), accessible items (
B), locked doors (
C), and bathroom symbols (
D) enhance safety. A dark room (E) may increase confusion or fear.
Question 2 of 5
The nurse is caring for a client suspected of having hepatitis A. Which item in the client's history is most likely related to the development of hepatitis A?
Correct Answer: B
Rationale: Hepatitis A is transmitted via the fecal-oral route, often in areas with poor sanitation like parts of India. Blood donation, transfusions, or cholecystectomy are not typical risk factors.
Question 3 of 5
An adult client was admitted for congestive heart failure today. An IV is running. The nurse enters the room and notes that the client is having increased difficulty breathing. Before calling the physician, what action should the nurse take?
Correct Answer: D
Rationale: Raising the head of the bed improves breathing in congestive heart failure by reducing pulmonary congestion. Increasing IV rate, supine positioning, or questioning delays intervention.
Question 4 of 5
A mother calls the pediatrician's office stating that her 15-month-old son received an MMR vaccination yesterday. Today, the site of the injection is red, warm, and puffy. What is the best action for the nurse to take?
Correct Answer: D
Rationale: Mild redness, warmth, and swelling at the MMR injection site are expected reactions, resolving without intervention.
Question 5 of 5
The nurse is talking with a client who is scheduled for a lumbar puncture. Which of the following statements by the client would require follow-up?
Correct Answer: A
Rationale: Lumbar punctures are typically performed in a lateral or sitting position, not prone (
A), requiring clarification. Urinating beforehand (
B), needle insertion (
C), and transient pain (
D) are correct.