NCLEX-PN
NCLEX PN Practice Test Questions
Extract:
Question 1 of 5
Which meal should the nurse recommend for a client at 13 weeks gestation?
Correct Answer: A
Rationale: Baked chicken, greens, cookie, and juice (
A) provide balanced nutrients without high-mercury fish (
B), deli meats (
C), or undercooked liver (
D), which pose risks in pregnancy.
Question 2 of 5
A client is being discharged with plans to return home alone. The client cannot get up from a chair without help and is very unsteady when standing, even with a walker. The nurse expresses concern, but the primary health care provider is adamant that the client be discharged today. Which team member would be most appropriate to assist the nurse in advocating for this client?
Correct Answer: D
Rationale: The client’s mobility limitations and unsafe discharge plan require advocacy for alternative arrangements, such as home care or facility placement. A social worker (
D) specializes in coordinating resources, assessing home safety, and advocating for patient needs, making them the best team member to assist. A psychologist (
A) focuses on mental health, while occupational (
B) and physical therapists (
C) address functional skills but not discharge planning.
Question 3 of 5
A nurse is caring for a client 2 days after surgical creation of an arteriovenous fistula in the forearm. Which finding should the nurse report immediately to the health care provider?
Correct Answer: C
Rationale: Pale skin in the hand (
C) suggests vascular compromise, risking fistula failure or ischemia, requiring immediate reporting. Edema (
A) is common, a swooshing sound (
B) indicates patency, and mild pain (
D) is expected.
Question 4 of 5
An adult who has cholecystitis reports clay-colored stools and moderate jaundice. The nurse knows that which is the best explanation for the presence of clay-colored stools and jaundice?
Correct Answer: D
Rationale: Clay-colored stools and jaundice result from a common bile duct obstruction, preventing bile flow to the intestines and causing bilirubin buildup in the blood. The gallbladder stores, not produces, bile, and pancreatic or gallbladder issues are less directly related.
Question 5 of 5
The nurse is reinforcing teaching to the caregiver of a child diagnosed with ringworm on the abdomen. Which statement by the caregiver indicates a need for further teaching?
Correct Answer: C
Rationale: Ringworm is a fungal infection, not a parasitic worm (
C), indicating a misunderstanding requiring further teaching. Handwashing (
A), antifungal cream (
B), and recognizing itching as non-dangerous (
D) are correct, reflecting proper understanding.