NCLEX-PN Comprehensive Test Questions
With Complete Solutions
A 4 year old child is admitted to the hospital with suspected
acute lymphocytic leukemia (ALL). The nurse understands that
which diagnostic study should confirm this diagnosis?
1. A platelet count
2. A lumbar puncture
3. Bone marrow biopsy
4. White blood cell (WBC) count Correct Answers 3. Bone
marrow biopsy
A child with leukemia is experiencing nausea related to
medication therapy. The nurse, concerned about the child's
nutritional status, should offer which during an episode of
nausea?
1. Low-calorie foods
2. Cool, clear liquid
3. Low-protein foods
4. The child's favorite foods Correct Answers 2. Cool, clear
liquid
A client asks the nurse about the cause of acne. The nurse
should respond by making which statement to the client?
1. "It is caused by oily skin"
2. "The exact cause of acne is not known"
3. "It is caused as a result of exposure to heat & humidity"
,4. "Acne is caused by eating chocolate, nuts, & fatty foods"
Correct Answers 2. "The exact cause of acne is not known"
A client enters the emergency department confused, twitching,
& having seizures. His family states he recently was placed on
corticosteroids for arthritis & was feeling better & exercising
daily. Upon assessment, he has flushed skin, dry mucous
membranes, an elevated temperature, & poor skin turgor. His
serum sodium level is 172 mEq/L. Which interventions would
the health care provider likely prescribe? select all that apply.
1. Monitor the vital signs
2. Monitor intake & output
3. Increase water intake orally
4. Monitor the electrolyte levels
5. Provide a sodium-reduced diet
6. Administer sodium replacements Correct Answers 1.
Monitor the vital signs
2. Monitor intake & output
3. Increase water intake orally
4. Monitor the electrolyte levels
5. Provide a sodium-reduced diet
A client had an aortic valve replacement 2 days ago. This
morning the client tells the nurse " I don't feel any better than i
did before surgery." Which response by the nurse is most
appropriate?
1. "You will feel better in a week or 2"
2. "Its only the second day post op. Cheer up"
3. "This is a normal frustration. It'll get better"
,4. "You are concerned that you don't feel any better after
surgery" Correct Answers 4. "You are concerned that you don't
feel any better after surgery"
A client has been placed in Buck's extension traction. Which
technique by the nurse will provide countertraction?
1. Using a footboard
2. Providing an overheard trapeze
3. Slightly elevating the foot of the bed
4. Slightly elevating the head of the bed Correct Answers 3.
Slightly elevating the foot of the bed
A client has had skeletal traction applied to the right leg & has
an overheard trapeze available for use. The nurse should monitor
which as a high risk area for pressure & breakdown?
1. Scapulae
2. Left heel
3. Right heel
4. Back of the head Correct Answers 2. Left heel
A client has just had a cast removed & the underlying skin is
yellow brown & crusted. The nurse determines that further skin
care instructions are required if the client makes which
statement?
1. "I will soak the skin & then wash it gently"
2. "I need to scrub the skin vigorously with soap & water"
3. "I need to apply an emollient lotion to enhance softening"
, 4. "I need to use a sunscreen on the skin if it will be directly
exposed to the sun" Correct Answers 2. "I need to scrub the
skin vigorously with soap & water"
A client is admitted to the hospital with a diagnosis of major
depression. During the admission interview, the nurse
determines that a major concern is the client's altered nutrition
related to poor nutritional intake. Which nursing intervention
related to altered nutrition should be the initial choice?
1. Weigh the client three times per week, before breakfast.
2. Explain to the client the importance of a good nutritional
intake
3. Report the nutritional concern to the psychiatrist & obtain a
nutritional consult as soon as possible
4. Offer the client several small, frequent meals daily, and
schedule brief nursing interactions with the client during these
times Correct Answers 4. Offer the client several small,
frequent meals daily, and schedule brief nursing interactions
with the client during these times
A client is admitted to the hospital with possible rheumatic
endocarditis. The nurse should check for a history of which type
of infection?
1. Viral infection
2. Yeast infection
3. Streptococcal infection
4. staphylococcal infection Correct Answers 3. Streptococcal
infection
With Complete Solutions
A 4 year old child is admitted to the hospital with suspected
acute lymphocytic leukemia (ALL). The nurse understands that
which diagnostic study should confirm this diagnosis?
1. A platelet count
2. A lumbar puncture
3. Bone marrow biopsy
4. White blood cell (WBC) count Correct Answers 3. Bone
marrow biopsy
A child with leukemia is experiencing nausea related to
medication therapy. The nurse, concerned about the child's
nutritional status, should offer which during an episode of
nausea?
1. Low-calorie foods
2. Cool, clear liquid
3. Low-protein foods
4. The child's favorite foods Correct Answers 2. Cool, clear
liquid
A client asks the nurse about the cause of acne. The nurse
should respond by making which statement to the client?
1. "It is caused by oily skin"
2. "The exact cause of acne is not known"
3. "It is caused as a result of exposure to heat & humidity"
,4. "Acne is caused by eating chocolate, nuts, & fatty foods"
Correct Answers 2. "The exact cause of acne is not known"
A client enters the emergency department confused, twitching,
& having seizures. His family states he recently was placed on
corticosteroids for arthritis & was feeling better & exercising
daily. Upon assessment, he has flushed skin, dry mucous
membranes, an elevated temperature, & poor skin turgor. His
serum sodium level is 172 mEq/L. Which interventions would
the health care provider likely prescribe? select all that apply.
1. Monitor the vital signs
2. Monitor intake & output
3. Increase water intake orally
4. Monitor the electrolyte levels
5. Provide a sodium-reduced diet
6. Administer sodium replacements Correct Answers 1.
Monitor the vital signs
2. Monitor intake & output
3. Increase water intake orally
4. Monitor the electrolyte levels
5. Provide a sodium-reduced diet
A client had an aortic valve replacement 2 days ago. This
morning the client tells the nurse " I don't feel any better than i
did before surgery." Which response by the nurse is most
appropriate?
1. "You will feel better in a week or 2"
2. "Its only the second day post op. Cheer up"
3. "This is a normal frustration. It'll get better"
,4. "You are concerned that you don't feel any better after
surgery" Correct Answers 4. "You are concerned that you don't
feel any better after surgery"
A client has been placed in Buck's extension traction. Which
technique by the nurse will provide countertraction?
1. Using a footboard
2. Providing an overheard trapeze
3. Slightly elevating the foot of the bed
4. Slightly elevating the head of the bed Correct Answers 3.
Slightly elevating the foot of the bed
A client has had skeletal traction applied to the right leg & has
an overheard trapeze available for use. The nurse should monitor
which as a high risk area for pressure & breakdown?
1. Scapulae
2. Left heel
3. Right heel
4. Back of the head Correct Answers 2. Left heel
A client has just had a cast removed & the underlying skin is
yellow brown & crusted. The nurse determines that further skin
care instructions are required if the client makes which
statement?
1. "I will soak the skin & then wash it gently"
2. "I need to scrub the skin vigorously with soap & water"
3. "I need to apply an emollient lotion to enhance softening"
, 4. "I need to use a sunscreen on the skin if it will be directly
exposed to the sun" Correct Answers 2. "I need to scrub the
skin vigorously with soap & water"
A client is admitted to the hospital with a diagnosis of major
depression. During the admission interview, the nurse
determines that a major concern is the client's altered nutrition
related to poor nutritional intake. Which nursing intervention
related to altered nutrition should be the initial choice?
1. Weigh the client three times per week, before breakfast.
2. Explain to the client the importance of a good nutritional
intake
3. Report the nutritional concern to the psychiatrist & obtain a
nutritional consult as soon as possible
4. Offer the client several small, frequent meals daily, and
schedule brief nursing interactions with the client during these
times Correct Answers 4. Offer the client several small,
frequent meals daily, and schedule brief nursing interactions
with the client during these times
A client is admitted to the hospital with possible rheumatic
endocarditis. The nurse should check for a history of which type
of infection?
1. Viral infection
2. Yeast infection
3. Streptococcal infection
4. staphylococcal infection Correct Answers 3. Streptococcal
infection
