NCLEX-PN Fundamentals Exit Exam Questions &
Correct Answers 100% Verified
1. A nurse in a long-term care facility is assisting with an in service for newly hired
assistive personnel about legal issues within the facility. Which of the following
should the nurse include as an example of assault?
- CORRECT ANSWER ❤️: Informing a client the nurse is going to administer an
injection even though the client refuses
2. A nurse is collecting data from those who are in severe pain. Which of the
following questions should the nurse ask first?
- CORRECT ANSWER ❤️: "Where is your pain located?"
3. A nurse is reviewing the laboratory results for a client who is at 29 weeks
gestation. For which of the following results should the nurse notify the provider?
- CORRECT ANSWER ❤️: Platelet count 95,000 mm3 (normal range is 150,000
to 450,000 mm3)
4. A nurse is performing a dressing change for a client who had abdominal surgery
5 days ago, the nurse notes organs protruding from the incision. Which of the
following actions should the nurse take?
- CORRECT ANSWER ❤️: Cover the exposed area with sterile, saline-soaked
dressings
5. A nurse is speaking with the adult daughter of a client who has Alzheimer's
disease. The daughter states, "I love my dad, but caring for him is wearing me out."
Which of the following responses should the nurse make?
, - CORRECT ANSWER ❤️: "Let's discuss how caring for your father is affecting
your health
6. A nurse is contributing to the plan of care for a patient who has a chest tube
connected to a closed drainage system. Which of the following actions should the
nurse include in the plan of care?
- CORRECT ANSWER ❤️: Maintain the drainage system below the level of the
client's chest
7. A nurse in an acute mental health facility is caring for a client who has
borderline personality disorder and reports. "I am going to kill my girlfriend when I
get out of here." Which of the following actions should the nurse take?
- CORRECT ANSWER ❤️: Notify the client's care team of the threats against the
partner
8. A nurse is admitting a client who is at high risk for suicide. Which of the
following actions is the nurse's priority?
- CORRECT ANSWER ❤️: Search the client's personal belongings
9. A nurse is caring for a client who is 1 day postoperative and is unable to
ambulate. Which of the following actions should the nurse take to promote the
client's venous return?
- CORRECT ANSWER ❤️: Maintain the sequential compression device
10. A nurse in an acute care unit is collecting data from a school age child who has
cystic fibrosis. Which of the following findings is the priority for the nurse?
- CORRECT ANSWER ❤️: Reports lack of appetite
, 11. A nurse working in a provider's office receives a phone call from the parent of a
school-age child who has varicella. The parent asked the nurse when the child
could return to school. Which of the following responses should the nurse make?
- CORRECT ANSWER ❤️: "When the lesions have scabbed over."
12. A nurse in a pediatric clinic is collecting the data from a school age child whose
injuries are inconsistent with the parent's stated cause. Which of the following
actions should the nurse take?
- CORRECT ANSWER ❤️: Report the suspected abuse to an appropriate agency
13. A nurse is collecting data from a middle adult female client who is taking
melatonin. Which of the following responses to the med should the nurse expect?
- CORRECT ANSWER ❤️: Improved sleep
14. A nurse in a pediatric unit is collecting data from four newly admitted clients.
Which of the following clients should the nurse identify as being at risk for urinary
retention?
- CORRECT ANSWER ❤️: A school age child who has allergic rhinitis and is
taking diphenhydramine
15. A nurse is preparing to purified protein derivatives (PPD) to a client who has
suspected TB. Which of the following actions should the nurse plan to take?
- CORRECT ANSWER ❤️: Ensure the injection produces a wheal on the skin
16. A client who is diagnosed with Parkinson's disease verbalizes frustration due to
increased difficulty with ambulation. Which of the following responses should the
nurse take?
- CORRECT ANSWER ❤️: Perform active ROM with your arms and legs two
times a day
Correct Answers 100% Verified
1. A nurse in a long-term care facility is assisting with an in service for newly hired
assistive personnel about legal issues within the facility. Which of the following
should the nurse include as an example of assault?
- CORRECT ANSWER ❤️: Informing a client the nurse is going to administer an
injection even though the client refuses
2. A nurse is collecting data from those who are in severe pain. Which of the
following questions should the nurse ask first?
- CORRECT ANSWER ❤️: "Where is your pain located?"
3. A nurse is reviewing the laboratory results for a client who is at 29 weeks
gestation. For which of the following results should the nurse notify the provider?
- CORRECT ANSWER ❤️: Platelet count 95,000 mm3 (normal range is 150,000
to 450,000 mm3)
4. A nurse is performing a dressing change for a client who had abdominal surgery
5 days ago, the nurse notes organs protruding from the incision. Which of the
following actions should the nurse take?
- CORRECT ANSWER ❤️: Cover the exposed area with sterile, saline-soaked
dressings
5. A nurse is speaking with the adult daughter of a client who has Alzheimer's
disease. The daughter states, "I love my dad, but caring for him is wearing me out."
Which of the following responses should the nurse make?
, - CORRECT ANSWER ❤️: "Let's discuss how caring for your father is affecting
your health
6. A nurse is contributing to the plan of care for a patient who has a chest tube
connected to a closed drainage system. Which of the following actions should the
nurse include in the plan of care?
- CORRECT ANSWER ❤️: Maintain the drainage system below the level of the
client's chest
7. A nurse in an acute mental health facility is caring for a client who has
borderline personality disorder and reports. "I am going to kill my girlfriend when I
get out of here." Which of the following actions should the nurse take?
- CORRECT ANSWER ❤️: Notify the client's care team of the threats against the
partner
8. A nurse is admitting a client who is at high risk for suicide. Which of the
following actions is the nurse's priority?
- CORRECT ANSWER ❤️: Search the client's personal belongings
9. A nurse is caring for a client who is 1 day postoperative and is unable to
ambulate. Which of the following actions should the nurse take to promote the
client's venous return?
- CORRECT ANSWER ❤️: Maintain the sequential compression device
10. A nurse in an acute care unit is collecting data from a school age child who has
cystic fibrosis. Which of the following findings is the priority for the nurse?
- CORRECT ANSWER ❤️: Reports lack of appetite
, 11. A nurse working in a provider's office receives a phone call from the parent of a
school-age child who has varicella. The parent asked the nurse when the child
could return to school. Which of the following responses should the nurse make?
- CORRECT ANSWER ❤️: "When the lesions have scabbed over."
12. A nurse in a pediatric clinic is collecting the data from a school age child whose
injuries are inconsistent with the parent's stated cause. Which of the following
actions should the nurse take?
- CORRECT ANSWER ❤️: Report the suspected abuse to an appropriate agency
13. A nurse is collecting data from a middle adult female client who is taking
melatonin. Which of the following responses to the med should the nurse expect?
- CORRECT ANSWER ❤️: Improved sleep
14. A nurse in a pediatric unit is collecting data from four newly admitted clients.
Which of the following clients should the nurse identify as being at risk for urinary
retention?
- CORRECT ANSWER ❤️: A school age child who has allergic rhinitis and is
taking diphenhydramine
15. A nurse is preparing to purified protein derivatives (PPD) to a client who has
suspected TB. Which of the following actions should the nurse plan to take?
- CORRECT ANSWER ❤️: Ensure the injection produces a wheal on the skin
16. A client who is diagnosed with Parkinson's disease verbalizes frustration due to
increased difficulty with ambulation. Which of the following responses should the
nurse take?
- CORRECT ANSWER ❤️: Perform active ROM with your arms and legs two
times a day
