NCLEX PN 3 Questions and Answers
2025
The home health nurse is providing care for a 6-year-old client who has a tracheostomy
and is being mechanically ventilated when the ventilator's apnea alarm sounds. The
nurse finds the client to be unresponsive and pulseless, and there is no other caregivers
present. Which action should the nurse take FIRST?
Begin chest compressions
The student nurse observes the respiratory therapist preparing to draw an arterial blood
gas from the radial artery. The RT performs the Allen's test and the student asks why
this test performed before the blood sample is drawn. Which statement made by the RT
is the most accurate?
The Allen's test is done to determine the patency of the ulnar artery
The nurse observes a student performing chest compressions on an adult client. Which
technique indicates that the student understands how to provide high-quality chest
compressions during cardiopulmonary resuscitation?
Compressing the chest to a depth of at least 2 in. (5 cm)
A 2-year-old at an outpatient clinic stops breathing and doesn't have a pulse. CPR is
initiated. When the automated external defibrillator (AED) arrives, the nurse notes that is
has only adult AED pads. What is the appropriate action at this time?
Place one AED pad on the chest and the other pad on the back
A practical nurse is evaluating the external fetal monitoring strip of a laboring
primigravida who is at 36 weeks gestation. Which nursing interventions should the
practical nurse anticipate when there is found to be LATE DECELERATIONS?
, -administer supplemental O2 by mask
increase the IV fluid rate
-stop the client's oxytocin infusion
A client who is pregnant at 30 weeks gestation comes to the prenatal clinic. Which
vaccines may be administered safely at this prenatal visit?
-influenze injection
-tetanus, diphtheria & pertussis
The nurse is reinforcing education to a pregnant client who is HIV-positive. Which
information is appropriate for the nurse to include?
Prescribed antiretroviral therapy should be continued during pregnancy
A nurse is reinforcing information on formula preparation for a client with a newborn.
Which statements by the client indicate proper understanding?
-i must wash the top of the concentrated formula can before opening it
-prepared formula should be kept in the refrigerator and discarded after 48 hours
A PN is assisting the RN to care for a 6-hour-old term newborn of a mother with
gestational diabetes. A bedside capillary blood glucose reveals the newborn's blood
glucose is 45mg/dl. The new born is asymptomatic. Which intervention should the PN
anticipate implementing FIRST?
Feed the newborn
The nurse is reinforcing instructions to a client at 34 weeks gestation who is preparing
to travel by airplane. Which of the following instructions are appropriate?
-carry a copy of your most up-to date prenatal record
-increase fluid intake before and during flight
-secure the lap belt below the abdomen and across your hips when seated
-wear compression stockings and loose fitting clothing
2025
The home health nurse is providing care for a 6-year-old client who has a tracheostomy
and is being mechanically ventilated when the ventilator's apnea alarm sounds. The
nurse finds the client to be unresponsive and pulseless, and there is no other caregivers
present. Which action should the nurse take FIRST?
Begin chest compressions
The student nurse observes the respiratory therapist preparing to draw an arterial blood
gas from the radial artery. The RT performs the Allen's test and the student asks why
this test performed before the blood sample is drawn. Which statement made by the RT
is the most accurate?
The Allen's test is done to determine the patency of the ulnar artery
The nurse observes a student performing chest compressions on an adult client. Which
technique indicates that the student understands how to provide high-quality chest
compressions during cardiopulmonary resuscitation?
Compressing the chest to a depth of at least 2 in. (5 cm)
A 2-year-old at an outpatient clinic stops breathing and doesn't have a pulse. CPR is
initiated. When the automated external defibrillator (AED) arrives, the nurse notes that is
has only adult AED pads. What is the appropriate action at this time?
Place one AED pad on the chest and the other pad on the back
A practical nurse is evaluating the external fetal monitoring strip of a laboring
primigravida who is at 36 weeks gestation. Which nursing interventions should the
practical nurse anticipate when there is found to be LATE DECELERATIONS?
, -administer supplemental O2 by mask
increase the IV fluid rate
-stop the client's oxytocin infusion
A client who is pregnant at 30 weeks gestation comes to the prenatal clinic. Which
vaccines may be administered safely at this prenatal visit?
-influenze injection
-tetanus, diphtheria & pertussis
The nurse is reinforcing education to a pregnant client who is HIV-positive. Which
information is appropriate for the nurse to include?
Prescribed antiretroviral therapy should be continued during pregnancy
A nurse is reinforcing information on formula preparation for a client with a newborn.
Which statements by the client indicate proper understanding?
-i must wash the top of the concentrated formula can before opening it
-prepared formula should be kept in the refrigerator and discarded after 48 hours
A PN is assisting the RN to care for a 6-hour-old term newborn of a mother with
gestational diabetes. A bedside capillary blood glucose reveals the newborn's blood
glucose is 45mg/dl. The new born is asymptomatic. Which intervention should the PN
anticipate implementing FIRST?
Feed the newborn
The nurse is reinforcing instructions to a client at 34 weeks gestation who is preparing
to travel by airplane. Which of the following instructions are appropriate?
-carry a copy of your most up-to date prenatal record
-increase fluid intake before and during flight
-secure the lap belt below the abdomen and across your hips when seated
-wear compression stockings and loose fitting clothing
