NCLEX-PN
NCLEX PN Exam Practice Test Questions
Extract:
Question 1 of 5
There is a train wreck causing 46 casualties. The nurse is asking personnel on the floor to suggest clients who could be discharged to make room for casualties. Which client would be best for the LPN to suggest?
Correct Answer: B
Rationale: The client who had an open cholecystectomy two days ago is likely stable and closer to discharge compared to those with recent major surgeries or ongoing radiation, which require specialized care.
Question 2 of 5
A sputum collection is ordered for an adult. How should the nurse plan to collect the specimen?
Correct Answer: B
Rationale: Morning sputum collection yields the most concentrated sample for accurate testing, typically for infections like tuberculosis, without needing mouthwash, all-day collection, or excessive fluids.
Question 3 of 5
The nurse is planning a staff education program about intimate partner violence. Which of the following information should the nurse include? Select all that apply.
Correct Answer: C,D,E
Rationale: Jealousy/possessiveness, barriers to leaving (financial/fear), and increased violence during pregnancy are accurate. Violence is not limited to high-income families and occurs in same-sex partnerships.
Question 4 of 5
A client who is diagnosed with breast cancer asks the nurse, 'Am I going to die?' Which statement by the nurse promotes a therapeutic relationship?
Correct Answer: C
Rationale: This response validates the client's fear and invites further discussion, fostering trust and a therapeutic relationship. A offers reassurance but may dismiss the client's emotions. B deflects to another provider without addressing the concern. D shifts focus away from the client's immediate fear, missing the opportunity to explore their feelings.
Question 5 of 5
The nurse is measuring the uterine fundal height of a client at 36 weeks gestation lying in a supine position. The client suddenly reports dizziness, and the nurse observes pallor and damp, cool skin. What should the nurse do first?
Correct Answer: D
Rationale: Symptoms suggest supine hypotensive syndrome; turning the client to a lateral position relieves uterine pressure on the vena cava, improving blood flow.