NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A 23-year-old man is admitted with a subdural hematoma and cerebral edema after a motorcycle accident. Which of the following symptoms should the nurse expect to see INITIALLY?
Correct Answer: D
Rationale: Subdural hematoma and cerebral edema initially cause a decreased level of consciousness (e.g., confusion, stupor) due to increased intracranial pressure (ICP). Unequal pupils (
A), decerebrate posturing (
B), and seizures (
C) are later signs of severe ICP or brainstem damage.
Extract:
Ms. Wilson was admitted in the hospital for subtotal thyroidectomy. Two days prior to surgery she complains to the nurse and states, 'It looks like that she is coming down with flu.'
Question 2 of 5
An appropriate nursing action is:
Correct Answer: A
Rationale: Lugol's solution is given a few days before thyroidectomy to decrease the vascularity of the thyroid glands. Should the patient develop an infection, thyroidectomy will be canceled, so the Lugol's solution should not be given.
Extract:
Question 3 of 5
The first postpartal bleeding noted by the mother after delivery is:
Correct Answer: A
Rationale: Lochia rubra is the initial postpartal bleeding, consisting of bright red blood and clots in the first few days after delivery.
Extract:
While retrieving her voice messages, the public health nurse received a call from the patient who is receiving short acting insulin for her diabetes. The patient states, 'I know I have a severely low sugar since the regular insulin was given 3 hours ago and it peaks in 2 hours.'
Question 4 of 5
When the nurse returns the call, the first question she will ask the patient would be?
Correct Answer: B
Rationale: Hypoglycemia is likely if the patient has not eaten post-insulin, making this the priority question to assess the cause.
Extract:
Question 5 of 5
A client with newly diagnosed type I diabetes mellitus is being seen by the home health nurse. The physician orders include: 1,200-calorie ADA diet, 15 units of NPH insulin before breakfast, and check blood sugar qid. When the nurse visits the client at 5 PM, the nurse observes the man performing a blood sugar analysis. The result is 50 mg/dL. The nurse would expect the client to be
Correct Answer: A
Rationale: A blood sugar of 50 mg/dL indicates hypoglycemia (normal 70–110 mg/dL), causing symptoms like confusion, cold, clammy skin, and tachycardia (pulse 110). Hyperglycemia (
B) causes hot, dry skin and Kussmaul respirations, normal findings (
C) are unlikely, and fluid overload (
D) is unrelated.