NCLEX PN Practice Test 1
1. Following an appendectomy, the client is being cared for by the nurse. The client reports
nausea and complains of surgical site pain at a 6 on a 0 to 10 scale. The client's employer is
present in the room and states he is paying for the insurance and wants to know what pain
medication has been prescribed by the physician. Which of the following is the appropriate
nurse response?
A. Answer any questions the employer may have as he pays for the insurance.
B. Tell the employer his question is inappropriate and that the information is none of his
business.
C. Explain to the employer that you cannot release private information and ask the
employer to step out while you conduct your assessment of the client.
D. Ask the employer to leave and wait until the client returns home to visit. - ANS-C.
Explain to the employer that you cannot release private information and ask the employer to
step out while you conduct your assessment of the client.
2. The nurse is caring for a client with a history of advanced chronic obstructive pulmonary
disease (COPD). Two days prior, the client had conventional gallbladder surgery. Which
strategy is most important for avoiding problems with the respiratory system? A. Incentive
spirometry every 4 hours.
B. Coughing and deep breathing four times daily.
C. Getting the patient out of bed four times per day as directed by the doctor. D. Giving
oxygen at 4 L/minute according to the physician's order. - ANS-C. Getting the client out of
bed 4 times daily as ordered by the physician
3. A nurse is developing a care plan for a client with acute mania. Place the following
behaviors in the order in which they occur as the client develops acute mania. Use all of the
options.
A. Delusions of grandeur.
B. Relevant, calm speech patterns.
C. Highly productive and competitive in work and leisure activities.
D. Easily irritated.
E. Poor judgment and impulse control. - ANS-
4. When educating a pregnant client about home safety, which of the following information
is appropriate for the nurse to include in the teaching plan? Select all that apply.
A. When taking a shower, place a non-skid mat on the floor of the tub or shower.
B. Avoid climbing stairs.
C. Avoid wearing high heels.
D. Use non-slip rugs on the floors. - ANS-A. Place a non-skid mat on the floor of the
bathtub or shower before you take a shower. B. Avoid going up and down stairs. C. Avoid
wearing high heels.
5. A client had a C5 spinal cord contusion that resulted in quadriplegia. Two days after the
injury occurred, the nurse sees his mother crying in the waiting room. The nurse is asked by
the mother if her son will ever play football again. Which of the following is the best initial
response?
A. "Given time and motivation, your son can return to normal function."
1. Following an appendectomy, the client is being cared for by the nurse. The client reports
nausea and complains of surgical site pain at a 6 on a 0 to 10 scale. The client's employer is
present in the room and states he is paying for the insurance and wants to know what pain
medication has been prescribed by the physician. Which of the following is the appropriate
nurse response?
A. Answer any questions the employer may have as he pays for the insurance.
B. Tell the employer his question is inappropriate and that the information is none of his
business.
C. Explain to the employer that you cannot release private information and ask the
employer to step out while you conduct your assessment of the client.
D. Ask the employer to leave and wait until the client returns home to visit. - ANS-C.
Explain to the employer that you cannot release private information and ask the employer to
step out while you conduct your assessment of the client.
2. The nurse is caring for a client with a history of advanced chronic obstructive pulmonary
disease (COPD). Two days prior, the client had conventional gallbladder surgery. Which
strategy is most important for avoiding problems with the respiratory system? A. Incentive
spirometry every 4 hours.
B. Coughing and deep breathing four times daily.
C. Getting the patient out of bed four times per day as directed by the doctor. D. Giving
oxygen at 4 L/minute according to the physician's order. - ANS-C. Getting the client out of
bed 4 times daily as ordered by the physician
3. A nurse is developing a care plan for a client with acute mania. Place the following
behaviors in the order in which they occur as the client develops acute mania. Use all of the
options.
A. Delusions of grandeur.
B. Relevant, calm speech patterns.
C. Highly productive and competitive in work and leisure activities.
D. Easily irritated.
E. Poor judgment and impulse control. - ANS-
4. When educating a pregnant client about home safety, which of the following information
is appropriate for the nurse to include in the teaching plan? Select all that apply.
A. When taking a shower, place a non-skid mat on the floor of the tub or shower.
B. Avoid climbing stairs.
C. Avoid wearing high heels.
D. Use non-slip rugs on the floors. - ANS-A. Place a non-skid mat on the floor of the
bathtub or shower before you take a shower. B. Avoid going up and down stairs. C. Avoid
wearing high heels.
5. A client had a C5 spinal cord contusion that resulted in quadriplegia. Two days after the
injury occurred, the nurse sees his mother crying in the waiting room. The nurse is asked by
the mother if her son will ever play football again. Which of the following is the best initial
response?
A. "Given time and motivation, your son can return to normal function."
