NCLEX-PN PraCtiCE QuEstioNs & tEst BaNk
2023/2024 @5
The NCLEX-RN (National Council Licensure Examination for Registered Nurses) is a
standardized examination that nursing graduates must pass to become licensed and practice as
registered nurses in the United States. The exam is developed and administered by the National
Council of State Boards of Nursing (NCSBN). Here's a brief overview of the NCLEX-RN exam.
The primary purpose of the NCLEX-RN is to ensure that candidates have the knowledge and
skills necessary to provide safe and effective nursing care. The exam assesses the nurse's ability
to apply critical thinking and clinical judgment in various nursing situations.
1. Question
Category: Health Promotion and Maintenance
Which of the following instructions should be included in the nurse’s teaching
regarding oral contraceptives?
A. Weight gain should be reported to the physician.
B. An alternate method of birth control is needed when taking antibiotics.
C. If the client misses one or more pills, two pills should be taken per day for 1
week.
D. Changes in the menstrual flow should be reported to the physician.
,Correct Answer: B. An alternate method of birth control is needed when taking
antibiotics.
When the client is taking oral contraceptives and begins antibiotics, another
method of birth control should be used. Antibiotics decrease the effectiveness of
oral contraceptives. Antibiotics are suspected to diminish oral contraceptive
efficacy by two main mechanisms: induction of the cytochrome P450 group of
hepatic microsomal enzymes and interference with enterohepatic cycling of
ethinylestradiol.
2. Question
Category: Health Promotion and Maintenance
The nurse is discussing breastfeeding with a postpartum client. Breastfeeding is
contraindicated in the postpartum client with:
A. Diabetes
B. Positive HIV
C. Hypertension
D. Thyroid disease
Correct Answer: B. Positive HIV
, Clients with HIV should not breastfeed because the infection can be transmitted to
the baby through breast milk. The best way to prevent transmission of HIV to an
infant through breast milk is to not breastfeed. In the United States, where mothers
have access to clean water and affordable replacement feeding (infant formula), the
CDC and the American Academy of Pediatrics recommend that HIV-infected
mothers completely avoid breastfeeding their infants, regardless of ART and
maternal viral load.
3. Question
Category: Physiological Integrity
A client is admitted to the labor and delivery unit complaining of vaginal bleeding
with very little discomfort. The nurse’s first action should be to:
A. Assess the fetal heart tones
B. Check for cervical dilation
C. Check for firmness of the uterus
D. Obtain a detailed history
Correct Answer: A. Assess the fetal heart tones
The symptoms of painless vaginal bleeding are consistent with placenta previa.
Assess fetal heart sounds so the mother would be aware of the health of her baby.
2023/2024 @5
The NCLEX-RN (National Council Licensure Examination for Registered Nurses) is a
standardized examination that nursing graduates must pass to become licensed and practice as
registered nurses in the United States. The exam is developed and administered by the National
Council of State Boards of Nursing (NCSBN). Here's a brief overview of the NCLEX-RN exam.
The primary purpose of the NCLEX-RN is to ensure that candidates have the knowledge and
skills necessary to provide safe and effective nursing care. The exam assesses the nurse's ability
to apply critical thinking and clinical judgment in various nursing situations.
1. Question
Category: Health Promotion and Maintenance
Which of the following instructions should be included in the nurse’s teaching
regarding oral contraceptives?
A. Weight gain should be reported to the physician.
B. An alternate method of birth control is needed when taking antibiotics.
C. If the client misses one or more pills, two pills should be taken per day for 1
week.
D. Changes in the menstrual flow should be reported to the physician.
,Correct Answer: B. An alternate method of birth control is needed when taking
antibiotics.
When the client is taking oral contraceptives and begins antibiotics, another
method of birth control should be used. Antibiotics decrease the effectiveness of
oral contraceptives. Antibiotics are suspected to diminish oral contraceptive
efficacy by two main mechanisms: induction of the cytochrome P450 group of
hepatic microsomal enzymes and interference with enterohepatic cycling of
ethinylestradiol.
2. Question
Category: Health Promotion and Maintenance
The nurse is discussing breastfeeding with a postpartum client. Breastfeeding is
contraindicated in the postpartum client with:
A. Diabetes
B. Positive HIV
C. Hypertension
D. Thyroid disease
Correct Answer: B. Positive HIV
, Clients with HIV should not breastfeed because the infection can be transmitted to
the baby through breast milk. The best way to prevent transmission of HIV to an
infant through breast milk is to not breastfeed. In the United States, where mothers
have access to clean water and affordable replacement feeding (infant formula), the
CDC and the American Academy of Pediatrics recommend that HIV-infected
mothers completely avoid breastfeeding their infants, regardless of ART and
maternal viral load.
3. Question
Category: Physiological Integrity
A client is admitted to the labor and delivery unit complaining of vaginal bleeding
with very little discomfort. The nurse’s first action should be to:
A. Assess the fetal heart tones
B. Check for cervical dilation
C. Check for firmness of the uterus
D. Obtain a detailed history
Correct Answer: A. Assess the fetal heart tones
The symptoms of painless vaginal bleeding are consistent with placenta previa.
Assess fetal heart sounds so the mother would be aware of the health of her baby.
