NCLEX NCLEX Certifications NCLEX-PN Questions & Answers

• Question 101:

  The PN is preparing a patient who has undergone cataract surgery on the right eye for discharge. Which of these statements indicates that the patient understands his or her post-surgical instructions?

  A. "I need to sleep on my right side."

  B. "I need to sleep flat on my back."

  C. "I need to sleep on my left side."

  D. "I can sleep in any position I find comfortable."

  Correct Answer: C

• Question 102:

  The PN is caring for a quadriplegic patient, and the patient begins to experience autonomic dysreflexia. What is the most appropriate action for the PN to take?

  A. Check the patient's urinary catheter.

  B. Administer nitroglycerin sublingually.

  C. Notify the physician.

  D. Elevate the head of the bed as high as possible.

  Correct Answer: D

• Question 103:

  The PN is caring for a patient undergoing peritoneal dialysis, and the output seems low. What should the PN do first?

  A. Stop the peritoneal dialysis and notify the physician.

  B. Check the patient's blood glucose level.

  C. Remove and replace the peritoneal dialysis catheter.

  D. Turn the patient side-to-side.

  Correct Answer: D

• Question 104:

  The PN walks into the patient's room and observes the patient having an asthma attack. What would be the best position for this patient?

  A. lying flat with arms crossed over chest

  B. sitting up, bent forward, arms resting

  C. left lateral Sims position

  D. standing with arms at side

  Correct Answer: B

• Question 105:

  The PN is caring for a patient with an open wound with a significant amount of drainage. What would the most appropriate dressing choice be for this wound?

  A. dry-to-wet dressing

  B. wet-to-dry dressing

  C. alginate dressing

  D. hydrocolloid dressing

  Correct Answer: C

• Question 106:

  The PN is reinforcing education with a patient being discharged with an Albuterol inhaler. The medication prescription orders the patient to take two puffs from the inhaler every 4-6 hours as needed.

  How long should the PN instruct the patient to wait between taking the first and second puff?

  A. 30 seconds

  B. 1 minute

  C. 1 hour

  D. 15 seconds

  Correct Answer: B

• Question 107:

  The PN is caring for a patient that had an open laparotomy 6 hours ago. The patient complains about coughing and a scratchy throat from being intubated.

  What would be the most important item to make sure the patient has at the bedside?

  A. an incentive spirometer

  B. a pillow

  C. ice chips

  D. throat lozenges

  Correct Answer: B

• Question 108:

  While the PN is removing the third of seven sutures in a patient's surgical incision, the PN notices a gap in between the skin where this suture was.

  Which of these are the most appropriate next steps?

  A. Approximate the edges, apply a butterfly strip, and proceed with removing the most distal suture.

  B. Approximate the edges, apply a butterfly strip, and notify the physician.

  C. Remove the most proximal suture, and observe for further wound gaping.

  D. Approximate the edges, apply a butterfly strip, and proceed with removing the most proximal suture.

  Correct Answer: B

• Question 109:

  The PN is caring for a patient in early labor lying supine in bed. The patient states that she is feeling lightheaded and nauseous, and the patient's blood pressure is lower than baseline.

  What is the most appropriate action?

  A. Administer oxygen.

  B. Elevate the foot of the bed.

  C. Ask the patient to lie on the left side.

  D. Continue to monitor the patient as labor progresses.

  Correct Answer: C

• Question 110:

  The PN enters the room of a patient who is having a tonic-clonic seizure.

  What is the first action the nurse should take?

  A. Place a tongue depressor in between the patient's teeth.

  B. Secure the airway.

  C. Elevate the head of the bed.

  D. Prepare Lorazepam for administration.

  Correct Answer: B