NCLEX-PN EXAMS COMPLETE WITH ANSWERS AND RATIONALES
1. Safety & Infection Control (10 questions)
Q1. A practical nurse is caring for a client with active pulmonary tuberculosis. Which
type of precautions should be implemented?
A) Contact Precautions
B) Droplet Precautions
C) Airborne Precautions
D) Protective Environment
Answer: C) Airborne Precautions
Rationale: TB is transmitted via droplet nuclei that remain airborne. Airborne
precautions require an N95 respirator and negative pressure room. Contact is for C.
diff/RSV; Droplet for flu/meningitis; Protective for immunocompromised.
Q2. A client on fall precautions needs to use the bathroom at night. What is the priority
action?
A) Place the bed in high position
B) Ensure the call light is within reach
C) Turn off all lights to avoid confusion
D) Restrain the client to prevent falls
Answer: B) Ensure the call light is within reach
Rationale: The client must be able to call for assistance. High bed increases fall risk;
lights should be dim but not off; restraints require an order and are last resort.
Q3: A PN is applying a wrist restraint. Which finding requires immediate intervention?
A) Two fingers fit under restraint
B) Restraint tied to side rail
C) Restraint removed every 2 hours
D) Quick-release knot used
Answer: B) Restraint tied to side rail
Rationale: Tying to side rail can cause arm injury when rail is lowered. Restraint must
tie to bed frame (immovable part). Two-finger check is correct; removal q2h for ROM is
correct; quick-release knot is required.
, Q4. A client with Clostridioides difficile infection has diarrhea. Which hand hygiene
method is correct?
A) Alcohol-based hand rub
B) Soap and water only
C) Chlorhexidine wipes
D) Hand rub followed by soap
Answer: B) Soap and water only
Rationale: C. diff spores are not killed by alcohol-based rubs. Mechanical friction and
rinsing with soap/water are required.
Q5. A PN is preparing to irrigate a client’s indwelling urinary catheter. Which action
maintains aseptic technique?
A) Use sterile gloves and sterile solution
B) Reuse the syringe if kept in clean container
C) Open the sterile kit 30 minutes before use
D) Wear clean gloves only
Answer: A) Use sterile gloves and sterile solution
Rationale: Catheter irrigation is a sterile procedure. Clean gloves are insufficient;
opening kit early increases contamination risk; never reuse supplies.
Q6. A client on droplet precautions needs to be transported to radiology. Which action
is correct?
A) Remove mask during transport to avoid frightening others
B) Place a surgical mask on the client
C) No precautions needed if distance > 3 feet
D) Transport via public elevator for speed
Answer: B) Place a surgical mask on the client
Rationale: Client should wear a mask during transport to reduce droplet spread. Staff
wear mask within 3 feet. Public elevator is avoided.
1. Safety & Infection Control (10 questions)
Q1. A practical nurse is caring for a client with active pulmonary tuberculosis. Which
type of precautions should be implemented?
A) Contact Precautions
B) Droplet Precautions
C) Airborne Precautions
D) Protective Environment
Answer: C) Airborne Precautions
Rationale: TB is transmitted via droplet nuclei that remain airborne. Airborne
precautions require an N95 respirator and negative pressure room. Contact is for C.
diff/RSV; Droplet for flu/meningitis; Protective for immunocompromised.
Q2. A client on fall precautions needs to use the bathroom at night. What is the priority
action?
A) Place the bed in high position
B) Ensure the call light is within reach
C) Turn off all lights to avoid confusion
D) Restrain the client to prevent falls
Answer: B) Ensure the call light is within reach
Rationale: The client must be able to call for assistance. High bed increases fall risk;
lights should be dim but not off; restraints require an order and are last resort.
Q3: A PN is applying a wrist restraint. Which finding requires immediate intervention?
A) Two fingers fit under restraint
B) Restraint tied to side rail
C) Restraint removed every 2 hours
D) Quick-release knot used
Answer: B) Restraint tied to side rail
Rationale: Tying to side rail can cause arm injury when rail is lowered. Restraint must
tie to bed frame (immovable part). Two-finger check is correct; removal q2h for ROM is
correct; quick-release knot is required.
, Q4. A client with Clostridioides difficile infection has diarrhea. Which hand hygiene
method is correct?
A) Alcohol-based hand rub
B) Soap and water only
C) Chlorhexidine wipes
D) Hand rub followed by soap
Answer: B) Soap and water only
Rationale: C. diff spores are not killed by alcohol-based rubs. Mechanical friction and
rinsing with soap/water are required.
Q5. A PN is preparing to irrigate a client’s indwelling urinary catheter. Which action
maintains aseptic technique?
A) Use sterile gloves and sterile solution
B) Reuse the syringe if kept in clean container
C) Open the sterile kit 30 minutes before use
D) Wear clean gloves only
Answer: A) Use sterile gloves and sterile solution
Rationale: Catheter irrigation is a sterile procedure. Clean gloves are insufficient;
opening kit early increases contamination risk; never reuse supplies.
Q6. A client on droplet precautions needs to be transported to radiology. Which action
is correct?
A) Remove mask during transport to avoid frightening others
B) Place a surgical mask on the client
C) No precautions needed if distance > 3 feet
D) Transport via public elevator for speed
Answer: B) Place a surgical mask on the client
Rationale: Client should wear a mask during transport to reduce droplet spread. Staff
wear mask within 3 feet. Public elevator is avoided.
