NCLEX PN Practice Tests
Question 1 of 5.
The nurse on the mental health unit is leading a group session. Shortly after the session begins, a newly admitted client with schizophrenia stands and starts to leave the room. Which of the following actions should the nurse take?
A. In a loud, firm voice, direct the client to come back to the room
B. Gently grasp the client's arm and redirect the client back to the seat
C. Reinforce the unit rules and importance of attending group sessions
D. Remain silent and allow the client to leave the room with another staff member
Explanation: Allowing the client to leave with another staff member respects their distress and ensures safety, avoiding confrontation. Loud commands, physical redirection, or rule enforcement may escalate agitation.
Question 2 of 5.
The LPN is caring for all of the following women on the postpartum unit. Which situation requires further attention?
A. A woman who gave birth four hours ago has red vaginal drainage on her perineal pad.
B. The nurse palpates the uterine fundus 3 cm above the umbilicus in a woman who gave birth 12 hours ago.
C. A woman who had a 20-hour labor and gave birth 8 hours ago asks the nurse not to bring her baby in for breastfeeding during the night.
D. A woman who gave birth yesterday is sweating profusely and producing large amounts of urine.
Explanation: A fundus 3 cm above the umbilicus 12 hours postpartum suggests uterine atony or retained clots, requiring further assessment to prevent hemorrhage. Other findings are normal or less urgent.
Question 3 of 5.
An adult asks the nurse what could be causing him to have a black tongue and black stools. The following items are in the client's history. Which is most likely to be causing his symptoms?
A. He is taking bismuth subsalicylate (Pepto-Bismol) for loose stools.
B. He has been eating a lot of beets and broccoli recently.
C. He has been taking iron tablets for anemia.
D. He eats a lot of red meat.
Explanation: Bismuth subsalicylate commonly causes black tongue and stools, a harmless side effect, unlike the other options.
Question 4 of 5.
The nurse is caring for a woman admitted with heart failure. The client has an IV running at 125 mL/hr. The client calls the nurse stating she is having difficulty breathing. The nurse observes that she is short of breath and in distress. What should the nurse do initially?
A. Slow the IV and raise the head of the bed
B. Call the physician
C. Take the client's blood pressure
D. Notify the charge nurse
Explanation: Raising the head of the bed improves breathing, and slowing the IV prevents fluid overload exacerbation in heart failure, addressing immediate distress.
Question 5 of 5.
An adult is being discharged on a low-sodium, low-fat diet. Which menu, if selected by the client, indicates an understanding of the diet?
A. Hamburger with fries, apple pie, milkshake
B. Tossed salad with vinaigrette dressing, baked skinny chicken, applesauce
C. Steak, corn on the cob, fruit salad
D. Fried shrimp, coleslaw, strawberry shortcake
Explanation: Tossed salad, baked skinless chicken, and applesauce are low in sodium and fat, aligning with the prescribed diet.
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