NCLEX-PN
NCLEX PN Practice Test Questions
Extract:
Question 1 of 5
When planning care for a woman who is admitted in labor, it is most important for the nurse to obtain which of the following information about the client?
Correct Answer: B
Rationale: Contraction frequency and duration indicate labor progress and urgency, guiding immediate care. Age, due date, membrane status, and support persons are secondary.
Question 2 of 5
The office nurse receives 4 telephone messages from clients. Which client does the nurse anticipate as the priority for treatment?
Correct Answer: C
Rationale: Headaches and gait disturbance in a 78-year-old on warfarin post-fall (
C) suggest a possible subdural hematoma, a life-threatening condition requiring immediate evaluation. Bull’s-eye rash (
A) suggests Lyme disease, vaginal discharge (
B) indicates yeast infection, and diarrhea (
D) is a colchicine side effect, all less urgent.
Question 3 of 5
The nurse is giving preoperative medication to an adult who is scheduled for surgery. The client says to the nurse that she does not want to have a transfusion during surgery because it is against her religion. The client has signed a consent form for surgery. How should the nurse respond?
Correct Answer: C
Rationale: An addendum to refuse transfusions respects the client's religious beliefs, ensuring informed consent. Other responses dismiss her autonomy or delay care.
Question 4 of 5
A client is to be discharged on enoxaparin (Lovenox) for the next two days. Which comment by the client indicates a need for further instruction?
Correct Answer: B
Rationale: Enoxaparin is injected subcutaneously in the abdomen, not the thigh, indicating a need for further teaching.
Question 5 of 5
The nurse is teaching the client regarding bladder retraining. The ability to remain continent depends on the:
Correct Answer: C
Rationale: The central nervous system coordinates bladder control, integrating sensory input and voluntary control for continence. Other systems play secondary roles.