NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Question 1 of 5
While caring for the client during the first hour after delivery, the nurse determines that the uterus is boggy and there is vaginal bleeding. What should be the nurse's first action?
Correct Answer: B
Rationale: Massage the fundus. The nurse's first action should be to massage the fundus until it is firm, as uterine atony is the primary cause of bleeding in the first hour after delivery.
Question 2 of 5
The nurse in the pediatric clinic is planning to reinforce postoperative teaching to parents. The nurse should talk with the parent of which child first?
Correct Answer: A
Rationale: A foreign object in the ear (
A) poses an immediate risk of injury or infection, requiring urgent attention. Ear pain post-adenotonsillectomy (
B) is common and less urgent. School clearance (
C) and returning to sports (
D) are non-emergent.
Question 3 of 5
The clinic nurse is planning to assess the visual acuity of a 6-year-old. Which method is the best way to assess visual acuity in this child?
Correct Answer: B
Rationale: The tumbling E chart (
B) is age-appropriate for a 6-year-old, who may not know letters. Allen cards (
A) are for younger children, Snellen at 10 ft (
C) is non-standard, and Ishihara (
D) tests color vision.
Question 4 of 5
Prior to administering a feeding, the nurse checks for placement of a feeding tube. What is the best way to do this?
Correct Answer: B
Rationale: Measuring the pH of aspirated fluid (pH <5.5) confirms gastric placement, the most reliable method to prevent aspiration.
Question 5 of 5
The unlicensed assistive personnel (UAP) reports to the nurse that during rounds a client has recently become pale. What is the nurse's first action?
Correct Answer: C
Rationale: Assessing the client directly (
C) confirms the report and guides next steps. Activating emergency response (
A), delegating vitals (
B), or notifying the provider (
D) is premature without assessment.