NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Question 1 of 5
The school nurse observes a 7-year-old client with attention deficit hyperactivity disorder begin to throw books and attempt to hit the classmates. Which of the following actions would be a priority for the nurse to take?
Correct Answer: C
Rationale: Removing the client to a quiet room (
C) ensures safety and de-escalates the situation. Balloon blowing (
A) is inappropriate, PRN methylphenidate (
B) is not typically ordered, and consequences (
D) are secondary.
Question 2 of 5
The nurse is assessing a client at 11 weeks gestation. The first day of the client's last menstrual period was September 7. Which of the following findings should the nurse expect to obtain?
Correct Answer: B,D,E
Rationale: At 11 weeks, increased urinary frequency (
B) is expected due to hormonal changes. The Naegele rule (LMP + 1 year - 3 months + 7 days) gives June 14 (
D). Fetal heart tones are detectable by Doppler (E). Fetal movement (
A) is felt later (16-20 weeks), and fundal height of 24 cm (
C) occurs around 24 weeks.
Question 3 of 5
The nurse assesses a client for physiological risk factors for falls. The nurse should conclude that the client is not at risk if which of the following is discovered?
Correct Answer: D
Rationale: Intact recent and remote memory indicates that a client is not at risk for falls. Risk for falls can occur in elder clients, and the nurse should assess each client for the possibility of falls and take appropriate actions.
Question 4 of 5
An elderly client who experiences nighttime confusion wanders from his room into the room of another client. The nurse can best help decrease the client's confusion by:
Correct Answer: D
Rationale: A night light reduces confusion by improving visibility and orientation. Constant supervision is impractical, room-sharing may worsen confusion, and sedatives increase fall risk.
Question 5 of 5
A nurse is providing a parenting class to individuals living in a community of older homes. In discussing formula preparation, which of the following is most important to prevent lead poisoning?
Correct Answer: C
Rationale: Use of lead-contaminated water to prepare formula is a major source of poisoning in infants. Letting tap water run for several minutes will diminish the lead contamination.