NCLEX PN TEST PREP V4 ACTUAL QUESTION AND
ANSWERS WITH EXPLANATIONS PRACTICE EXAM 1
ALREADY GRADED A+.
• A client scheduled for surgery has a preoperative order for
atropine oncall. The nurse should tell the client that the
medication will:
A. Make him drowsy
B. Make his mouth dry
C. Help him to relax
D. Prevent infection
Answer B: Atropine is given to dry secretions and lessens the
likelihood of aspiration. Answers A, C, and D are inaccurate
statements; therefore, they areincorrect.
• The nurse is assessing a primgravida 12 hours after a
Caesarean section. The nurse notes that the client’s fundus is at
the umbilicus and is firm. Thenurse should:
A. Prepare to catheterize the client
B. Obtain an order for an oxytocic
C. Chart the finding
D. Tell the client to remain in bed
Answer C: The client’s assessment findings are within normal 12
hours aftera Caesarean section; therefore, the nurse should chart
the finding. Answer A is incorrect because the assessment does
not reveal the presence of bladder distention. Answer B is
incorrect because the assessment does not reveal uterine atony.
Answer D is incorrect because the client needs to ambulate.
• Which of the following observations in a 4-year-old
suggests thepossibility of child abuse?
A. The presence of “rainbow” bruises
B. Sucking the thumb when going to sleep
C. Crying during painful procedures
D. Eagerness to talk to strangers
,NCLEX PN TEST PREP V4 ACTUAL QUESTION AND
ANSWERS WITH EXPLANATIONS PRACTICE EXAM 1
ALREADY GRADED A+.
Answer A: “Rainbow” bruises refer to bruises in various stages of
healing. Although they are not conclusive proof of physical abuse,
they do suggest thepossibility. Answer B is incorrect because the
4-year-old might still suck the thumb when going to sleep. The
victim of child abuse usually endures painfulprocedures with little
expression of emotion; therefore, answer C is incorrect.Victims of
child abuse are usually reluctant to talk to strangers; therefore,
answer D is incorrect.
• A client with a history of alcoholism cannot remember the
events of the past week even though he has receipts from
various places of business. The client’s inability to recall events
is known as:
A. Alcoholic hallucinosis
B. A hangover
C. A blackout
D. Sunday morning paralysis
Answer C: An alcoholic blackout refers to the inability to
remember what occurred before or after a period of alcohol intake.
Answer A is incorrect because it occurs after a period of heavy
drinking or when the usual alcohol intake is reduced. Alcoholic
hallucinosis is characterized by hallucinations. Answer B is
incorrect because it refers to the headache and gastrointestinal
symptoms experienced after drinking alcohol. Sunday morning
paralysis refers to radial nerve palsy commonly observed when a
stuporous person lieswith his arm pressed over a projecting
surface; therefore, answer D is incorrect.
• The nurse is caring for a client with degenerative joint disease. Which
,NCLEX PN TEST PREP V4 ACTUAL QUESTION AND
ANSWERS WITH EXPLANATIONS PRACTICE EXAM 1
ALREADY GRADED A+.
finding is associated with degenerative joint disease?
A. Joint pain that intensifies with activity and diminishes with rest
B. Bilateral and symmetric joint involvement
C. Involvement of the fingers and hands
D. Complaints of early-morning stiffness
Answer A: Degenerative joint disease (osteoarthritis) is
characterized by joint pain that intensifies with activity and
diminishes with rest. Answers B, C, and D are typical findings in
the client with rheumatoid arthritis; therefore,they are incorrect.
• The physician has ordered an injection of Demerol
(meperidine) for aclient with pancreatitis. The nurse should:
A. Administer the injection using the Z track method
B. Hold pressure on the injection site for 3–5 minutes
C. Administer the medication subcutaneously in the arm
D. Prep the skin using a betadine wipe
Answer B: The client with pancreatitis has decreased levels of
vitamin K, making him more likely to have prolonged bleeding
with injections; therefore, the nurse should hold pressure on the
injection site for 3–5 minutes. Answer A is incorrect because the
medication is not administered using the Z track method. Answer
C is incorrect because the medication is not administered
subcutaneously. Answer D is incorrect because alcohol, not
betadine, is used to prep the skin.
• The nurse is preparing a client with Addison’s disease for
discharge. The nurse should explain that the client can help
prevent complications by:
A. Avoiding dietary sources of sodium
B. Dressing in lightweight clothing
C. Restricting foods rich in potassium
, NCLEX PN TEST PREP V4 ACTUAL QUESTION AND
ANSWERS WITH EXPLANATIONS PRACTICE EXAM 1
ALREADY GRADED A+.
D. Staying out of crowds
Answer D: The client with Addison’s disease is treated with
corticosteroidtherapy that reduces the client’s immunity. The
client needs to stay out of crowds to prevent complications
posed by infection. Answers A and C are incorrect because the
client needs additional sources of sodium and
ANSWERS WITH EXPLANATIONS PRACTICE EXAM 1
ALREADY GRADED A+.
• A client scheduled for surgery has a preoperative order for
atropine oncall. The nurse should tell the client that the
medication will:
A. Make him drowsy
B. Make his mouth dry
C. Help him to relax
D. Prevent infection
Answer B: Atropine is given to dry secretions and lessens the
likelihood of aspiration. Answers A, C, and D are inaccurate
statements; therefore, they areincorrect.
• The nurse is assessing a primgravida 12 hours after a
Caesarean section. The nurse notes that the client’s fundus is at
the umbilicus and is firm. Thenurse should:
A. Prepare to catheterize the client
B. Obtain an order for an oxytocic
C. Chart the finding
D. Tell the client to remain in bed
Answer C: The client’s assessment findings are within normal 12
hours aftera Caesarean section; therefore, the nurse should chart
the finding. Answer A is incorrect because the assessment does
not reveal the presence of bladder distention. Answer B is
incorrect because the assessment does not reveal uterine atony.
Answer D is incorrect because the client needs to ambulate.
• Which of the following observations in a 4-year-old
suggests thepossibility of child abuse?
A. The presence of “rainbow” bruises
B. Sucking the thumb when going to sleep
C. Crying during painful procedures
D. Eagerness to talk to strangers
,NCLEX PN TEST PREP V4 ACTUAL QUESTION AND
ANSWERS WITH EXPLANATIONS PRACTICE EXAM 1
ALREADY GRADED A+.
Answer A: “Rainbow” bruises refer to bruises in various stages of
healing. Although they are not conclusive proof of physical abuse,
they do suggest thepossibility. Answer B is incorrect because the
4-year-old might still suck the thumb when going to sleep. The
victim of child abuse usually endures painfulprocedures with little
expression of emotion; therefore, answer C is incorrect.Victims of
child abuse are usually reluctant to talk to strangers; therefore,
answer D is incorrect.
• A client with a history of alcoholism cannot remember the
events of the past week even though he has receipts from
various places of business. The client’s inability to recall events
is known as:
A. Alcoholic hallucinosis
B. A hangover
C. A blackout
D. Sunday morning paralysis
Answer C: An alcoholic blackout refers to the inability to
remember what occurred before or after a period of alcohol intake.
Answer A is incorrect because it occurs after a period of heavy
drinking or when the usual alcohol intake is reduced. Alcoholic
hallucinosis is characterized by hallucinations. Answer B is
incorrect because it refers to the headache and gastrointestinal
symptoms experienced after drinking alcohol. Sunday morning
paralysis refers to radial nerve palsy commonly observed when a
stuporous person lieswith his arm pressed over a projecting
surface; therefore, answer D is incorrect.
• The nurse is caring for a client with degenerative joint disease. Which
,NCLEX PN TEST PREP V4 ACTUAL QUESTION AND
ANSWERS WITH EXPLANATIONS PRACTICE EXAM 1
ALREADY GRADED A+.
finding is associated with degenerative joint disease?
A. Joint pain that intensifies with activity and diminishes with rest
B. Bilateral and symmetric joint involvement
C. Involvement of the fingers and hands
D. Complaints of early-morning stiffness
Answer A: Degenerative joint disease (osteoarthritis) is
characterized by joint pain that intensifies with activity and
diminishes with rest. Answers B, C, and D are typical findings in
the client with rheumatoid arthritis; therefore,they are incorrect.
• The physician has ordered an injection of Demerol
(meperidine) for aclient with pancreatitis. The nurse should:
A. Administer the injection using the Z track method
B. Hold pressure on the injection site for 3–5 minutes
C. Administer the medication subcutaneously in the arm
D. Prep the skin using a betadine wipe
Answer B: The client with pancreatitis has decreased levels of
vitamin K, making him more likely to have prolonged bleeding
with injections; therefore, the nurse should hold pressure on the
injection site for 3–5 minutes. Answer A is incorrect because the
medication is not administered using the Z track method. Answer
C is incorrect because the medication is not administered
subcutaneously. Answer D is incorrect because alcohol, not
betadine, is used to prep the skin.
• The nurse is preparing a client with Addison’s disease for
discharge. The nurse should explain that the client can help
prevent complications by:
A. Avoiding dietary sources of sodium
B. Dressing in lightweight clothing
C. Restricting foods rich in potassium
, NCLEX PN TEST PREP V4 ACTUAL QUESTION AND
ANSWERS WITH EXPLANATIONS PRACTICE EXAM 1
ALREADY GRADED A+.
D. Staying out of crowds
Answer D: The client with Addison’s disease is treated with
corticosteroidtherapy that reduces the client’s immunity. The
client needs to stay out of crowds to prevent complications
posed by infection. Answers A and C are incorrect because the
client needs additional sources of sodium and
