PART 1: NCLEX-PN PRACTICE
QUESTIONS (25 ITEMS)
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?
o A. Collect the clothing and underwear of the child
o B. Provide privacy and disregard the behavior of the
child
o C. Inform the law enforcement for a possible child
abuse
o D. Record all the findings
Incorrect
Correct Answer: C. Inform the law enforcement for a
possible child abuse
Option 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.
Options A and D: Documenting and collecting
evidence is an important aspect of a suspected child
sexual abuse but is not the first action.
Option B: It is the responsibility of the nurse to protect
the welfare of the child.
2. 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:
A. Pear
B. Apple
C. Orange
D. Avocado
Incorrect
Correct Answer: D. Avocado
Option D: The fruit which packs the most potassium
among the choices is the avocado which contains 487
mg per half serving of the fruit.
Option A: A pear contains 280 mg of potassium.
Option B: An apple contains 165 mg of potassium.
Option C: An orange contains 235 mg of potassium.
3. 3. Question
The nurse is caring for a client following the removal of the
thyroid. Immediately post-op, the nurse should:
A. Maintain the client in a semi-Fowler’s position
with the head and neck supported by pillows
B. Encourage the client to turn her head side to side, to
promote drainage of oral secretions
C. Maintain the client in a supine position with sandbags
placed on either side of the head and neck
D. Encourage the client to cough and breathe deeply
every 2 hours, with the neck in a flexed position
Incorrect
Correct Answer: A. Maintain the client in a semi-Fowler’s
position with the head and neck supported by pillows.
, Option A: Following a thyroidectomy, the client should
be placed in semi-Fowler’s position to decrease
swelling that would place pressure on the airway.
Options B, C, and D: These positions would increase
the chances of post-operative complications that
include bleeding, swelling, and airway obstruction.
4. 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?
A. Dairy products
B. Carbonated beverages
C. Refined sugars
D. Luncheon meats
Incorrect
Correct Answer: D. Luncheon meats
Option D: Luncheon meats contain preservatives such
as nitrites that have been linked to gastric cancer.
Options 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
incorrect.
5. 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. A history of consistent employment
B. A below-average intelligence
C. A history of cruelty to animals
QUESTIONS (25 ITEMS)
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?
o A. Collect the clothing and underwear of the child
o B. Provide privacy and disregard the behavior of the
child
o C. Inform the law enforcement for a possible child
abuse
o D. Record all the findings
Incorrect
Correct Answer: C. Inform the law enforcement for a
possible child abuse
Option 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.
Options A and D: Documenting and collecting
evidence is an important aspect of a suspected child
sexual abuse but is not the first action.
Option B: It is the responsibility of the nurse to protect
the welfare of the child.
2. 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:
A. Pear
B. Apple
C. Orange
D. Avocado
Incorrect
Correct Answer: D. Avocado
Option D: The fruit which packs the most potassium
among the choices is the avocado which contains 487
mg per half serving of the fruit.
Option A: A pear contains 280 mg of potassium.
Option B: An apple contains 165 mg of potassium.
Option C: An orange contains 235 mg of potassium.
3. 3. Question
The nurse is caring for a client following the removal of the
thyroid. Immediately post-op, the nurse should:
A. Maintain the client in a semi-Fowler’s position
with the head and neck supported by pillows
B. Encourage the client to turn her head side to side, to
promote drainage of oral secretions
C. Maintain the client in a supine position with sandbags
placed on either side of the head and neck
D. Encourage the client to cough and breathe deeply
every 2 hours, with the neck in a flexed position
Incorrect
Correct Answer: A. Maintain the client in a semi-Fowler’s
position with the head and neck supported by pillows.
, Option A: Following a thyroidectomy, the client should
be placed in semi-Fowler’s position to decrease
swelling that would place pressure on the airway.
Options B, C, and D: These positions would increase
the chances of post-operative complications that
include bleeding, swelling, and airway obstruction.
4. 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?
A. Dairy products
B. Carbonated beverages
C. Refined sugars
D. Luncheon meats
Incorrect
Correct Answer: D. Luncheon meats
Option D: Luncheon meats contain preservatives such
as nitrites that have been linked to gastric cancer.
Options 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
incorrect.
5. 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. A history of consistent employment
B. A below-average intelligence
C. A history of cruelty to animals
