NCLEX PN Actual Exam Test Bank
NCLEX PN Actual Exam Test Bank
NCLEX PN Exam 6 Questions and Correct Answers
with Detailed Rationales A+ 2025
Which nursing care would be included for a client who is receiving doxorubicin for acute
myelogenous leukemia?
a) Serving hot liquids with each meal
b) Providing frequent oral hygiene and increasing oral fluids
c) Emphasizing that the disease will be cured with this treatment
d) Administering medications intramuscularly and encouraging activity
- Correct Answer :b) Providing frequent oral hygiene and increasing oral fluids
Stomatitis and hyperuricemia are complications of therapy; therefore, oral care and hydration
are important. Food and fluids with extremes in temperature should be avoided because of the
A+ TEST BANK 2
,
, NCLEX PN Actual Exam Test Bank
common occurrence of stomatitis. Emphasizing that the disease will be be cured with this
treatment may provide false reassurance. Abnormal bleeding is a common problem, and thus
injections are contraindicated; rest is important for increased fatigability.
A nurse is feeding an infant who recently underwent surgical repair of a cleft lip. Which would
the nurse plan to do for the infant just after each feeding?
a) Burp several times
b) Rinse the suture line
c) Position the infant in the abdomen
d) Hold the infant for several minutes
- Correct Answer :b) Rinse the suture line
Meticulous care of the suture line is necessary because inflammation and sloughing of the tissue
disrupt healing. Burping should be done throughout the feeding. Placing the infant on the
abdomen is contraindicated, not only because the infant may rub the face on the sheet and
irritate the suture line but also because this position has been linked to sudden infant death
syndrome. The infant may be held anytime.
Which specific intervention would the nurse implement for a client with a small vulvar
hematoma during the first 12 hours after delivery?
a) Assess vital signs every 2 hours
b) Apply ice pack to the vulvar area
c) Measure fundal height every 4 hours
d) Inform the healthcare provider of assessment findings
- Correct Answer :b) Apply an ice pack tot he vulvar area
The nurse will apply an ice pack to the vulvar area to help reduce swelling caused by hematoma
formation. Assessing vitals every 2 hours, measuring fundal height every 4 hours, and informing
the health care provider of assessment findings are not specific interventions for clients with a
small vulvar hematoma.
Which information would the nurse provide a 45 year old client exposed to the hepatitis A virus
at a local restaurant 7 days ago?
a) Tell the client that the chance of acquiring the virus is very low
b) Tell the client to get the hepatitis A vaccine immediately to prevent infection
c) Inform the client to go to the local health department as soon as possible to get immune
globulin
A+ TEST BANK 3
, NCLEX PN Actual Exam Test Bank
d) Inform the client to notify the healthcare provider if signs and symptoms of the hepatitis virus
to start appear
- Correct Answer :c) Inform the client to get the hepatitis A vaccine immediately to prevent
infection
The client was exposed to the hepatitis A vaccine and would need to take preventive measures
to avoid infection because being infected is a possibility. The client needs to receive the
immunoglobulin within 2 weeks of exposure to provide temporary immunity. It is not
appropriate to tell the client that the chance of acquiring the virus is very low because there is
no way to tell what this particular client's chance of being infected is. The client should not be
told to wait until signs and symptoms appear because the client can be contagious 2 weeks
before those signs and symptoms appear. The vaccine would prevent possible future exposures
of hepatitis A, but not this exposure, because it takes the vaccine 30 days to become effective.
A child who has stepped on a rusty nail is given tetanus immune globulin in the emergency
department. Which effect will the immune globulin injection will confer?
a) Longer-lasting active immunity
b) Temporary passive acquired immunity
c) Passive immunity throughout the child's life
d) Active natural immunity throughout the child's life
- Correct Answer :b) Temporary passive acquired immunity
Temporary passive immunity is provided by tetanus globulin, which is administered immediately
after an injury like the one the child sustained. If the child has not had a tetanus toxoid , which is
a modified toxin that stimulates the body to form antibodies that last as long as 10 years. Passive
immunity, even the natural type derived from the mother, is temporary. Only by having the
disease is lifelong natural immunity made possible.
While reviewing the admission assessment, the nurse finds that a 2 year old child has not
received immunization for measles, mumps, and rubella (MMR). At which age should this
immunization have been administered?
a) 2 months
b) 4 months
c) 6 months
d) 12 months
- Correct Answer :d) 12 months
A+ TEST BANK 4
NCLEX PN Actual Exam Test Bank
NCLEX PN Exam 6 Questions and Correct Answers
with Detailed Rationales A+ 2025
Which nursing care would be included for a client who is receiving doxorubicin for acute
myelogenous leukemia?
a) Serving hot liquids with each meal
b) Providing frequent oral hygiene and increasing oral fluids
c) Emphasizing that the disease will be cured with this treatment
d) Administering medications intramuscularly and encouraging activity
- Correct Answer :b) Providing frequent oral hygiene and increasing oral fluids
Stomatitis and hyperuricemia are complications of therapy; therefore, oral care and hydration
are important. Food and fluids with extremes in temperature should be avoided because of the
A+ TEST BANK 2
,
, NCLEX PN Actual Exam Test Bank
common occurrence of stomatitis. Emphasizing that the disease will be be cured with this
treatment may provide false reassurance. Abnormal bleeding is a common problem, and thus
injections are contraindicated; rest is important for increased fatigability.
A nurse is feeding an infant who recently underwent surgical repair of a cleft lip. Which would
the nurse plan to do for the infant just after each feeding?
a) Burp several times
b) Rinse the suture line
c) Position the infant in the abdomen
d) Hold the infant for several minutes
- Correct Answer :b) Rinse the suture line
Meticulous care of the suture line is necessary because inflammation and sloughing of the tissue
disrupt healing. Burping should be done throughout the feeding. Placing the infant on the
abdomen is contraindicated, not only because the infant may rub the face on the sheet and
irritate the suture line but also because this position has been linked to sudden infant death
syndrome. The infant may be held anytime.
Which specific intervention would the nurse implement for a client with a small vulvar
hematoma during the first 12 hours after delivery?
a) Assess vital signs every 2 hours
b) Apply ice pack to the vulvar area
c) Measure fundal height every 4 hours
d) Inform the healthcare provider of assessment findings
- Correct Answer :b) Apply an ice pack tot he vulvar area
The nurse will apply an ice pack to the vulvar area to help reduce swelling caused by hematoma
formation. Assessing vitals every 2 hours, measuring fundal height every 4 hours, and informing
the health care provider of assessment findings are not specific interventions for clients with a
small vulvar hematoma.
Which information would the nurse provide a 45 year old client exposed to the hepatitis A virus
at a local restaurant 7 days ago?
a) Tell the client that the chance of acquiring the virus is very low
b) Tell the client to get the hepatitis A vaccine immediately to prevent infection
c) Inform the client to go to the local health department as soon as possible to get immune
globulin
A+ TEST BANK 3
, NCLEX PN Actual Exam Test Bank
d) Inform the client to notify the healthcare provider if signs and symptoms of the hepatitis virus
to start appear
- Correct Answer :c) Inform the client to get the hepatitis A vaccine immediately to prevent
infection
The client was exposed to the hepatitis A vaccine and would need to take preventive measures
to avoid infection because being infected is a possibility. The client needs to receive the
immunoglobulin within 2 weeks of exposure to provide temporary immunity. It is not
appropriate to tell the client that the chance of acquiring the virus is very low because there is
no way to tell what this particular client's chance of being infected is. The client should not be
told to wait until signs and symptoms appear because the client can be contagious 2 weeks
before those signs and symptoms appear. The vaccine would prevent possible future exposures
of hepatitis A, but not this exposure, because it takes the vaccine 30 days to become effective.
A child who has stepped on a rusty nail is given tetanus immune globulin in the emergency
department. Which effect will the immune globulin injection will confer?
a) Longer-lasting active immunity
b) Temporary passive acquired immunity
c) Passive immunity throughout the child's life
d) Active natural immunity throughout the child's life
- Correct Answer :b) Temporary passive acquired immunity
Temporary passive immunity is provided by tetanus globulin, which is administered immediately
after an injury like the one the child sustained. If the child has not had a tetanus toxoid , which is
a modified toxin that stimulates the body to form antibodies that last as long as 10 years. Passive
immunity, even the natural type derived from the mother, is temporary. Only by having the
disease is lifelong natural immunity made possible.
While reviewing the admission assessment, the nurse finds that a 2 year old child has not
received immunization for measles, mumps, and rubella (MMR). At which age should this
immunization have been administered?
a) 2 months
b) 4 months
c) 6 months
d) 12 months
- Correct Answer :d) 12 months
A+ TEST BANK 4
