NCLEX-PN
NCLEX PN Practice Test Questions
Extract:
Question 1 of 5
Which client is most at risk for methicillin-resistant Staphylococcus aureus infection?
Correct Answer: D
Rationale: The 80-year-old with a hemodialysis catheter in a long-term care facility (
D) is at highest risk for MRSA due to invasive devices, frequent healthcare exposure, and communal living. Others (A, B,
C) have lower risk profiles.
Question 2 of 5
A mother brings her 1-month-old son to the clinic for a well-baby visit. The child has a moderately severe hypospadias that was seen by a urologist in the newborn nursery. The mother is upset that the doctors would not circumcise her son before he was discharged. What information should the nurse include when responding to the mother?
Correct Answer: A
Rationale: Hypospadias repair often uses foreskin tissue, so circumcision is avoided to preserve it for surgical correction, addressing the mother's concern.
Question 3 of 5
The nurse is caring for a client with cholelithiasis and acute cholecystitis. The client suddenly vomits 250 mL of greenish-yellow emesis and reports severe right upper quadrant pain with radiation to the right shoulder. Which intervention would have the highest priority?
Correct Answer: B
Rationale: Acute cholecystitis with vomiting and severe pain suggests gallbladder inflammation or obstruction, requiring immediate cessation of oral intake (NPO status,
B) to prevent further stimulation and complications like perforation. Promethazine (
A) and pain medication (
D) are supportive but secondary. A nasogastric tube (
C) may be considered later but is not the priority.
Question 4 of 5
A client diagnosed with endometrial cancer is receiving brachytherapy. Which interventions should the nurse anticipate for this client? Select all that apply.
Correct Answer: A,C,D,E
Rationale: Brachytherapy involves internal radiation, requiring precautions to minimize exposure. Clustering care (
A) reduces staff exposure time. Limiting visitor contact (
C) protects others from radiation. Protective shielding (
D) and radiation badges (E) ensure safety and monitor exposure. Ambulation (
B) is restricted to prevent dislodging the radiation source.
Question 5 of 5
The nurse is caring for a client who received albuterol 30 minutes ago for an acute exacerbation of asthma. It would indicate that the medication has been effective if the client experiences a decreased
Correct Answer: A
Rationale: Albuterol, a bronchodilator, relieves bronchospasm in asthma, reducing airway resistance. Decreased use of accessory muscles (
A) indicates improved breathing and oxygenation, a direct sign of albuterol's effectiveness. Changes in blood pressure (
B), anxiety (
C), or heart rate (
D) are not primary indicators of albuterol's effect, as they may be influenced by other factors like the stress of the attack or concurrent medications.