NCLEX-PN Exam Questions and Answers|
Latest Update
The nurse is assisting to admit a client who has streptococcal pharyngitis. Which of the
following actions should the nurse take?
1. Wear a surgical mask when checking the client's vital signs.
2. Ensure the assigned room has monitored negative air pressure.
3. Request the dietary department provide disposable dishes and utensils for the client's meals.
4. Obtain particulate respirator masks (N95s) for staff members to use when providing client
care ✔️✔️
The nurse has reinforced teaching with a client who is receiving alendronate. Which of the
following statements by the client would indicate a correct understanding of the teaching?
1. "I can take the medication at any time of day."
2. "I should take the medication with orange juice."
3. "I must sit upright for 30 minutes after taking the medication."
4. "I will avoid taking over-the-counter (OTC) vitamin D supplements." ✔️✔️
The nurse is talking with a client who has borderline personality disorder. Which of the
following statements would the nurse expect the client to make? 1. "I often feel bored and
empty."
2. "I hear voices others are unable to hear."
3. "I need to go to my room to wash my hands again."
4. "I am worried the food on this meal tray has been poisoned." ✔️✔️
The nurse is caring for a client with moderate Alzheimer's disease (AD). The nurse should
immediately intervene if a staff member is observed
1. providing the client with a sandwich to eat while the client is wandering in the hallway
2. securing the client to a shower chair before the shower begins
,3. offering the client several ounces of fluid at regular intervals
4. letting the client choose what sweater to wear ✔️✔️
The nurse is caring for a client who had a thoracentesis 1 hour ago. Which of the following
findings would require immediate follow-up?
1. respirations of 24
2. tenderness at the puncture site
3. temperature of 99.6° F (37.6° C)
4. small amount of bleeding at the puncture site ✔️✔️
The nurse is caring for a client who has right-sided hemiplegia and is ambulating using a walker.
It would indicate a correct understanding of how to use the walker if the client is observed
1. moving the walker forward 12 in (30 cm) then swinging both legs forward together
2. taking a step forward with the left leg and then advancing the right leg and the walker
3. moving the walker and the right leg forward 6 in (15 cm) and then moving the left leg
forward
4. placing the rear legs of the walker and the right leg forward and then moving the left leg
forward ✔️✔️
The nurse is contributing to a staff education program about clients who are pregnant and
rubella nonimmune. Which of the following information should the nurse suggest including?
Select all that apply.
1. "Fetal effects from the mother's exposure to rubella tend to be mild."
2. "Clients who are not immune to rubella should be vaccinated postpartum." 3. "Exposure to
rubella during pregnancy is only harmful in the first trimester." 4. "Pregnancy should be
prevented for 4 weeks after receiving the rubella vaccine."
5. "Anti-infectives administered after exposure eliminate the risks of rubella for the fetus." ✔️✔️
The nurse is caring for a client with persistent depressive disorder. Which of the following
behaviors would the nurse expect to observe?
, 1. grandiose actions
2. expansive, pressured speech
3. reports of auditory hallucinations
4. inability to experience joy or pleasure in life ✔️✔️
The nurse is caring for a client who has just returned from the radiology department after
having an upper gastrointestinal (UGI) series. Which of the following actions should the nurse
take first?
1. Administer the enema.
2. Verify the preliminary test results.
3. Determine whether follow-up x-rays are to be taken.
4. Give the multivitamin that was withheld prior to the procedure. ✔️✔️
The nurse is measuring a client for crutches. Which of the following actions should the nurse
take?
1. Measure the client's height and subtract 8 in (20 cm) to obtain the correct crutch length.
2. Ask the client to stand upright and position the shoulder rest of the crutch 6 in (15 cm) below
the axilla.
3. Adjust the crutches so the client's elbows are at a 30-degree angle while the client's hands
are resting on the hand grips.
4. Measure from the posterior fold of the axillae to the toes of the client's feet and add 2 in (5
cm) while the client is in a supine position. ✔️✔️
The nurse in an outpatient care facility has received the following telephone messages from
clients who were previously seen at the facility. The nurse should first telephone the client who
is reporting
1. no memory of the postprocedure instructions following an esophagogastroduodenoscopy
(EGD)
2. a sore throat following a endoscopic retrograde cholangiopancreatography (ERCP)
3. shortness of breath following a bronchoscopy
Latest Update
The nurse is assisting to admit a client who has streptococcal pharyngitis. Which of the
following actions should the nurse take?
1. Wear a surgical mask when checking the client's vital signs.
2. Ensure the assigned room has monitored negative air pressure.
3. Request the dietary department provide disposable dishes and utensils for the client's meals.
4. Obtain particulate respirator masks (N95s) for staff members to use when providing client
care ✔️✔️
The nurse has reinforced teaching with a client who is receiving alendronate. Which of the
following statements by the client would indicate a correct understanding of the teaching?
1. "I can take the medication at any time of day."
2. "I should take the medication with orange juice."
3. "I must sit upright for 30 minutes after taking the medication."
4. "I will avoid taking over-the-counter (OTC) vitamin D supplements." ✔️✔️
The nurse is talking with a client who has borderline personality disorder. Which of the
following statements would the nurse expect the client to make? 1. "I often feel bored and
empty."
2. "I hear voices others are unable to hear."
3. "I need to go to my room to wash my hands again."
4. "I am worried the food on this meal tray has been poisoned." ✔️✔️
The nurse is caring for a client with moderate Alzheimer's disease (AD). The nurse should
immediately intervene if a staff member is observed
1. providing the client with a sandwich to eat while the client is wandering in the hallway
2. securing the client to a shower chair before the shower begins
,3. offering the client several ounces of fluid at regular intervals
4. letting the client choose what sweater to wear ✔️✔️
The nurse is caring for a client who had a thoracentesis 1 hour ago. Which of the following
findings would require immediate follow-up?
1. respirations of 24
2. tenderness at the puncture site
3. temperature of 99.6° F (37.6° C)
4. small amount of bleeding at the puncture site ✔️✔️
The nurse is caring for a client who has right-sided hemiplegia and is ambulating using a walker.
It would indicate a correct understanding of how to use the walker if the client is observed
1. moving the walker forward 12 in (30 cm) then swinging both legs forward together
2. taking a step forward with the left leg and then advancing the right leg and the walker
3. moving the walker and the right leg forward 6 in (15 cm) and then moving the left leg
forward
4. placing the rear legs of the walker and the right leg forward and then moving the left leg
forward ✔️✔️
The nurse is contributing to a staff education program about clients who are pregnant and
rubella nonimmune. Which of the following information should the nurse suggest including?
Select all that apply.
1. "Fetal effects from the mother's exposure to rubella tend to be mild."
2. "Clients who are not immune to rubella should be vaccinated postpartum." 3. "Exposure to
rubella during pregnancy is only harmful in the first trimester." 4. "Pregnancy should be
prevented for 4 weeks after receiving the rubella vaccine."
5. "Anti-infectives administered after exposure eliminate the risks of rubella for the fetus." ✔️✔️
The nurse is caring for a client with persistent depressive disorder. Which of the following
behaviors would the nurse expect to observe?
, 1. grandiose actions
2. expansive, pressured speech
3. reports of auditory hallucinations
4. inability to experience joy or pleasure in life ✔️✔️
The nurse is caring for a client who has just returned from the radiology department after
having an upper gastrointestinal (UGI) series. Which of the following actions should the nurse
take first?
1. Administer the enema.
2. Verify the preliminary test results.
3. Determine whether follow-up x-rays are to be taken.
4. Give the multivitamin that was withheld prior to the procedure. ✔️✔️
The nurse is measuring a client for crutches. Which of the following actions should the nurse
take?
1. Measure the client's height and subtract 8 in (20 cm) to obtain the correct crutch length.
2. Ask the client to stand upright and position the shoulder rest of the crutch 6 in (15 cm) below
the axilla.
3. Adjust the crutches so the client's elbows are at a 30-degree angle while the client's hands
are resting on the hand grips.
4. Measure from the posterior fold of the axillae to the toes of the client's feet and add 2 in (5
cm) while the client is in a supine position. ✔️✔️
The nurse in an outpatient care facility has received the following telephone messages from
clients who were previously seen at the facility. The nurse should first telephone the client who
is reporting
1. no memory of the postprocedure instructions following an esophagogastroduodenoscopy
(EGD)
2. a sore throat following a endoscopic retrograde cholangiopancreatography (ERCP)
3. shortness of breath following a bronchoscopy
