NCLEX-PN Practice Exam QUESTIONS
AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED
ANSWERS)
The nurse is caring for assigned clients. The nurse should recognize that the client at highest
risk for developing peritonitis is a client who had - Answer✔
The nurse is caring for a client with moderate Alzheimer's disease (AD). The nurse should
immediately intervene if a staff member is observed - Answer✔
The charge nurse in a long-term care facility has completed client care assignments for
unlicensed assistive personnel (UAP). Which of the following statements by the charge nurse
would provide the best directions to a UAP regarding the assignment? - Answer✔
The nurse and unlicensed assistive personnel (UAP) are caring for assigned clients. Which of the
following activities would be appropriate for the nurse to assign to UAP? - Answer✔
The nurse is contributing to a staff development conference about informed consent for
surgery. Which of the following information should the nurse suggest including? - Answer✔
A nurse who is pregnant is assigned to care for a 3-month-old client with respiratory syncytial
virus (RSV) pneumonia. The client is receiving ribavirin therapy. Which of the following actions
would be most appropriate for the nurse to take? - Answer✔
The nurse is contributing to the plan of care for a client with multiple sclerosis (MS). Which of
the following should the nurse recommend be included? - Answer✔
The nurse has participated in a staff development conference about caring for clients with
various religious beliefs who are terminally ill. Which of the following statements by the nurse
would indicate a correct understanding of the teaching?
1."A family member will turn a client who practices Buddhism east to face Mecca prior to
death."
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2."After death, a member of a burial society will wash the body of a client who practices
Orthodox Judaism."
3."After death, a family member will cover the mirrors in the room of a client who practices the
Greek Orthodox religion."
4."A priest will tie a thread around the wrist of a client who practices Roman Catholicism to
signify a blessing prior to death." - Answer✔2."After death, a member of a burial society will
wash the body of a client who practices Orthodox Judaism."
The nurse is contributing to a staff education conference about advance directives. Which of
the following information should the nurse recommend including? Select all that apply. -
Answer✔
The nurse is caring for a client who has mycoplasma pneumonia. Which of the following
infection control precautions should the nurse implement? - Answer✔
The nurse is observing a coworker suctioning a client with a tracheostomy. The nurse should
intervene if the coworker:
1.applies suction as the catheter is being withdrawn
2.wears a face shield throughout the procedure
3.applies suction for 10 seconds at each pass of the catheter
4.wears clean, nonsterile gloves throughout the procedure - Answer✔3.applies suction for 10
seconds at each pass of the catheter
The nurse is reinforcing teaching with the parents of a child who is scheduled for surgical repair
of hypospadias. The nurse should reinforce that intended outcomes of the procedure include:
1.relief from pain
2.relief from bladder obstruction
3.the ability to void while standing
4.the ability to achieve an erection - Answer✔
The nurse is collecting data from a client who had a kidney transplant 5 days ago. Which of the
following findings would require immediate intervention? - Answer✔
The nurse is contributing to a staff development conference about client confidentiality. Which
of the following information should the nurse suggest including? Select all that apply. -
Answer✔
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The nurse is contributing to the plan of care for a client who had a stroke 3 days ago and has
right-sided hemiplegia and dysphagia. Which of the following nutritional outcomes would be
most appropriate for the nurse to recommend including in the client's plan of care? - Answer✔
The nurse is collecting data on a client with chronic obstructive pulmonary disease (COPD).
Which of the following findings would be a priority to report to the charge nurse? - Answer✔
The nurse is contributing to a staff education conference about the stages of grief in clients
with terminal illness. Which of the following information should the nurse suggest including? -
Answer✔
The nurse in a long-term care facility is making client care assignments for unlicensed assistive
personnel (UAP). Which of the following statements by the nurse would provide UAP with the
best directions about an assignment? - Answer✔
The nurse has reinforced teaching with a female client who sustained a spinal cord injury at T5
three weeks ago. Which of the following statements by the client would indicate a correct
understanding of the teaching? Select all that apply. - Answer✔
The charge nurse in a long-term care facility has made client care assignments for unlicensed
assistive personnel (UAP). Which of the following statements by the charge nurse would
provide the best directions to a UAP about the assignment? - Answer✔
The nurse is collecting data from a client with Guillain-Barré. The client is experiencing paralysis
and paresthesias of the lower extremities and has a respiratory rate of 18. Which of the
following actions should the nurse take? - Answer✔
The nurse has reinforced discharge teaching with the parent of a newborn. Which of the
following statements by the parent would require follow-up?
1.
"I will leave my baby's diaper off when possible if the diaper area starts to become red."
2.
"I will secure my baby in a rear-facing infant seat in the front seat of the car since there is an
airbag there."
3.
"I should give my baby a pacifier at bedtime to reduce the risk for sudden infant death
syndrome (SIDS)."
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4.
"I should squeeze the bulb syringe before inserting it into my baby's mouth when I suction
excess secretions." - Answer✔2."I will secure my baby in a rear-facing infant seat in the front
seat of the car since there is an airbag there."
The nurse is collecting data from a client with sickle cell anemia. Which of the following
statements by the client would be essential to follow up?
1.
"I usually drink 4 L of water or juice daily."
2.
"I am scheduled to receive the influenza vaccine."
3.
"I may need to receive a prescribed anti-infective if I develop a fever."
4.
"I have been applying cold packs daily to help relieve the pain in my knees." - Answer✔3."I may
need to receive a prescribed anti-infective if I develop a fever."
The nurse has received the following information about assigned clients. The nurse should first
check the client
1.
who has right-sided heart failure and is reporting frequent urination
2.
with active pulmonary tuberculosis (TB) who is reporting expectorating blood-tinged mucus
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