NCLEX PN Exam Practice Test Questions

Question 1 of 5

What is the best way that parents of pre-schoolers can begin teaching their child about injury prevention?

A. Set good examples themselvesB. Protect their child from outside influencesC. Make sure their child understands all the safety rulesD. Discuss the consequences of not wearing protective devices

Correct Answer: A

Rationale: Set good examples themselves. The preschool years are the time for parents to begin emphasizing safety principles as well as providing protection. Setting a good example themselves is crucial because of the imitative behaviors of pre-schoolers, they are quick to notice discrepancies between what they see and what they are told.

Question 2 of 5

The nurse is talking with a 74-year-old client with previously well-controlled hypertension. The client currently has a blood pressure of 190/88 mm Hg and has had a cold with nasal congestion for the past 3 days. Which of the following questions would be most important for the nurse to ask?

A. Have you received the influenza vaccine recently?B. Are you taking over-the-counter cold medications?C. Have you spent time with your grandchildren recently?D. Are you taking over-the-counter vitamin C supplements?

Correct Answer: B

Rationale: OTC cold medications (e.g., decongestants) can elevate blood pressure, explaining the sudden increase, making this the most important question.

Question 3 of 5

A client in the medical-surgical unit has an indwelling urinary catheter. Which actions should the nurse implement to reduce the incidence of catheter-associated urinary tract infections? Select all that apply.

A. Cleanse periurethral area with antiseptics every shiftB. Ensure each client has a separate container to empty collection bagC. Keep catheter bag below the level of the bladderD. Routinely irrigate the catheter with antimicrobial solutionE. Use sterile technique when collecting a urine specimen

Correct Answer: B,C,E

Rationale: Using a separate container prevents cross-contamination. Keeping the bag below the bladder prevents urine backflow, reducing infection risk. E: Sterile technique minimizes pathogen introduction during specimen collection. A is incorrect as routine antiseptic cleansing can disrupt natural flora, increasing infection risk. D is incorrect as routine irrigation is not recommended unless medically indicated, as it can introduce pathogens.

Question 4 of 5

The nurse at the radiological imaging center is admitting a client for an MRI of the right knee. Which information obtained by the nurse should be reported immediately to the prescribing health care provider?

A. The client ate a full breakfast that morningB. The client has an implantable cardiovascular defibrillator (ICD)C. The client is allergic to povidone-iodineD. The client took all prescribed cardiac medications before arriving

Correct Answer: B

Rationale: An ICD is a contraindication for MRI due to magnetic interference, requiring immediate reporting. Other findings are less critical.

Question 5 of 5

Which actions by a nurse are reportable to the state board of nursing? Select all that apply.

A. Administering hydromorphone without a prescriptionB. Being habitually tardy to workC. Documenting an intervention that was not performedD. Stealing narcoticsE. Walking off duty in the middle of a shift

Correct Answer: A,C,D

Rationale: Administering medication without a prescription, falsifying documentation, and stealing narcotics are reportable to the state board. Tardiness and leaving a shift are not typically reportable.

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