NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
Which of the following are correct nursing actions related to client positioning? Select all that apply.
Correct Answer: B,D,E
Rationale: Trendelenburg on the left traps air in the heart’s apex for air embolism, side-lying with flexion aids lumbar puncture access, and arm elevation facilitates chest tube placement. Fowler post-catheterization risks bleeding, and right side-lying is standard post-liver biopsy.
Question 2 of 5
The nurse is to administer a tube feeding to an adult. What action is essential before administering the feeding?
Correct Answer: B
Rationale: Checking tube placement (e.g., pH testing, aspiration) prevents aspiration by ensuring the tube is in the stomach. Other actions are irrelevant or unsafe.
Question 3 of 5
The nurse is caring for a client with schizophrenia who is experiencing auditory hallucinations and has a new prescription for an oral antipsychotic. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Instructing the client to ignore hallucinations helps them manage symptoms by redirecting focus, a practical coping strategy. Music or touch may exacerbate distress, and antipsychotics typically take days to weeks to reduce hallucinations, not hours.
Question 4 of 5
The nurse is preparing to administer ophthalmic timolol maleate to a client with glaucoma. It would require follow-up if the nurse
Correct Answer: C
Rationale: Wiping from outer to inner canthus risks introducing contaminants to the eye. Applying lacrimal duct pressure prevents systemic absorption, pulling the eyelid exposes the sac, and holding the dropper at the correct height ensures safe administration.
Question 5 of 5
Which information should be included in the nurse's shift report?
Correct Answer: C
Rationale: Although all of these may be correct information to include in report, the essential piece would be the urine output, as it indicates the client's fluid status and response to treatment.