NCLEX-PN Exam Pack Part 1

NCLEX-PN Exam Pack Part 1 Updated 2022

1.1. Question

A 4-year old child is brought by her grandmother in the emergency room due to fever, chills, and difficulty walking. The nurse tries to remove the excessive clothing of the child but is reluctant. After a thorough assessment, the nurse also noted bruises around the genital area. Which of the following interventions should the nurse do first?

• Collect the clothing and underwear of the child
• Provide privacy and disregard the behavior of the

child

• Inform the law enforcement for a possible child

abuse

• Record all the findings

Correct Answer: C. Inform the law enforcement for a

possible child abuse

oOption C: Calling law enforcement is a priority action

and a legal responsibility of the nurse in cases of suspected child abuse. Signs of sexual abuse in children 0-5 years of age include unexplained genital injury, avoidance to remove clothing, insist on wearing multiple garments, difficulty walking or sitting due to genital or anal pain, and signs of sexually transmitted infections.

oOptions A and D: Documenting and collecting

evidence is an important aspect of a suspected child sexual abuse but is not the first action.

oOption B: It is the responsibility of the nurse to protect

the welfare of the child.

2. Question A client receiving hydrochlorothiazide is instructed to increase her dietary intake of potassium. The best snack for the client

requiring increased potassium is:

• Pear
• Apple
• Orange
• Avocado

Correct Answer: D. Avocado

oOption D: The fruit which packs the most potassium

among the choices is the avocado which contains 487 mg per half serving of the fruit.

oOption A: A pear contains 280 mg of potassium.

oOption B: An apple contains 165 mg of potassium.

oOption C: An orange contains 235 mg of potassium.

3. Question The nurse is caring for a client following the removal of the

thyroid. Immediately post-op, the nurse should:

• Maintain the client in a semi-Fowler’s position

with the head and neck supported by pillows

• Encourage the client to turn her head side to side, to

promote drainage of oral secretions

• Maintain the client in a supine position with sandbags

placed on either side of the head and neck

• Encourage the client to cough and breathe deeply

every 2 hours, with the neck in a flexed position

Correct Answer: A. Maintain the client in a semi-Fowler’s

position with the head and neck supported by pillows.

oOption A: Following a thyroidectomy, the client should

be placed in semi-Fowler’s position to decrease swelling that would place pressure on the airway.

oOptions B, C, and D: These positions would increase

the chances of post-operative complications that include bleeding, swelling, and airway obstruction.4. Question A client hospitalized with chronic dyspepsia is diagnosed with gastric cancer. Which of the following is associated with an increased incidence of gastric cancer?

• Dairy products
• Carbonated beverages
• Refined sugars
• Luncheon meats

Correct Answer: D. Luncheon meats

oOption D: Luncheon meats contain preservatives such

as nitrites that have been linked to gastric cancer.

oOptions A, B, and C: Dairy products, carbonated

beverages, and refined sugars have not been found to increase the risk of gastric cancer; therefore, they are .5. Question A client is sent to the psychiatric unit for forensic evaluation after he is accused of arson. His tentative diagnosis is antisocial personality disorder. In reviewing the client’s record, the nurse

would expect to find:

• A history of consistent employment
• A below-average intelligence
• A history of cruelty to animals
• An expression of remorse for his actions

Correct Answer: C. A history of cruelty to animals

oOption C: A history of cruelty to people and animals,

truancy, and setting fires with a diagnosis of conduct disorder in children, which becomes a diagnosis of antisocial personality disorder in adults.

oOption A: A client with an antisocial personality

disorder does not hold consistent employment.

oOption B: IQ is usually higher than average.

oOption D: A client with antisocial personality disorder

lacks guilt or remorse for wrong-doing.6. Question The licensed vocational nurse may not assume the primary care

for a client:

• In the fourth stage of labor
• Two days post-appendectomy
• With a venous access device
• With bipolar disorder

Correct Answer: C. With a venous access device.

oOption C: Only a trained nurse with experience and

background in caring for a venous access device can assume the primary care of the client.

oOptions A, B, and D: The licensed vocational nurse

may care for the client in labor, the client post- operative client, and the client with bipolar disorder.7. Question The physician has ordered dressings with Sulfamylon cream for a client with full-thickness burns of the hands and arms. Before

dressing changes, the nurse should give priority to:

• Administering pain medication
• Checking the adequacy of urinary output
• Requesting a daily complete blood count