NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
A 20-year-old obese female client is preparing to have gastric bypass surgery for weight loss. She says to the nurse, 'I need this surgery because nothing else I have done has helped me to lose weight.' Which response by the nurse is most appropriate?
Correct Answer: D
Rationale: Respecting the client's informed decision for surgery demonstrates empathy and professionalism. The other responses are judgmental or dismissive of her situation. Physiological Adaptation
Question 2 of 5
A young adult male has been diagnosed with testicular cancer. Which of these statements by this client would need to be explored by the nurse to clarify his understanding?
Correct Answer: C
Rationale: Stage 3 is the most extensive involvement of cancer with any type, indicating a need to clarify the client's misunderstanding.
Question 3 of 5
A client receiving aminophylline complains of nausea and 'feeling jittery.' The nurse's first action should be to:
Correct Answer: D
Rationale: Nausea and jitteriness suggest aminophylline toxicity, so checking the drug level is the priority. Other actions address symptoms, not the cause.
Extract:
Stephen is a 58-year-old male patient who has a long history of alcoholism. He develops Laennec's cirrhosis, has ascites, jaundice and is confused.
Question 4 of 5
The nursing priority for Stephen is to
Correct Answer: A
Rationale: Confusion indicates hepatic encephalopathy, making safety measures the priority to prevent injury.
Extract:
Question 5 of 5
The nurse is supervising an unlicensed person who is giving oral care to an unconscious client. Which observation indicates that the unlicensed person needs further instruction?
Correct Answer: B
Rationale: An upright position risks aspiration in an unconscious client; lateral positioning with head turned prevents this, indicating a need for instruction.