NCLEX-PN
NCLEX Practice Test PN Questions
Question 1 of 5
When unlicensed assistive personnel (UAP) assist a client with a chest tube back to bed from the bedside commode, the plastic chest drainage unit accidentally falls over and cracks. The UAP immediately report this incident to the nurse. What is the nurse's immediate action?
Correct Answer: C
Rationale: Placing the distal end of the chest tube in sterile saline maintains a water seal, preventing air from entering the pleural space until a new drainage unit is prepared.
Question 2 of 5
The nurse is feeding a 3-month-old client with tetralogy of Fallot. During the feeding, the client becomes cyanotic and has difficulty breathing. Which action should the nurse take first?
Correct Answer: D
Rationale: The knee-chest position increases systemic vascular resistance and reduces right-to-left shunting in tetralogy of Fallot, immediately improving oxygenation during a tet spell.
Question 3 of 5
Which of the following conditions is most likely related to the development of renal calculi?
Correct Answer: A
Rationale: Gout increases uric acid levels, which can lead to uric acid kidney stones, a common type of renal calculi.
Question 4 of 5
The nurse is caring for a client after a motor vehicle accident. The client's injuries include 2 fractured ribs and a concussion. The nurse notes which findings as expected neurological changes for the client with a concussion? Select all that apply.
Correct Answer: A,C,D
Rationale: Amnesia (
A), brief loss of consciousness (
C), and headache (
D) are common symptoms of concussion due to temporary brain dysfunction.
Question 5 of 5
A 6-year old is admitted with a diagnosis of childhood autism. Which behavior is most typical of the child with autism?
Correct Answer: C
Rationale: Children with autism often engage in ritualistic or repetitive behaviors, such as specific routines or movements, as a hallmark of the condition.
Choice A is incorrect because children with autism typically have social communication difficulties and are less likely to engage with strangers.
Choice B is incorrect as they may show intense interest in specific inanimate objects.
Choice D is incorrect as music preference varies and is not a defining characteristic.