NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
A 26-year-old woman with a history of heart disease is admitted in labor. She has been on bed rest for four months to prevent dyspnea. During labor, this client is likely to receive which of the following?
Correct Answer: D
Rationale: Epidural anesthesia minimizes cardiac stress and pain in labor for a patient with heart disease, safer than general anesthesia or Valsalva pushing.
Question 2 of 5
The nurse is caring for a 70-year-old client with diabetic retinopathy. Which of the following statements by the client would be a priority to follow up?
Correct Answer: A
Rationale: A 'curtain' over half the vision suggests retinal detachment, a medical emergency requiring immediate intervention to prevent permanent vision loss. Reading glasses are normal, cloudy vision or glare may indicate cataracts, and less bright colors are age-related, but none are as urgent.
Question 3 of 5
A concern regarding maternal and infant mortality and morbidity is that:
Correct Answer: A
Rationale: Lack of prenatal care in some populations is a significant contributor to maternal and infant mortality and morbidity, as it prevents early intervention. The other concerns are less directly linked. Health Promotion and Maintenance
Question 4 of 5
An adult has a substance abuse problem. Which statement, if made by the client, indicates the best understanding of the problem?
Correct Answer: D
Rationale: Calling a support group during distress shows understanding of ongoing recovery needs, leveraging resources to maintain sobriety.
Question 5 of 5
A client has had a tracheostomy for 2 weeks after a motor vehicle accident. Which task could the RN safely delegate to unlicensed assistive personnel (UAP)?
Correct Answer: B
Rationale: Unlicensed assistive personnel should be able to perform routine tracheostomy care, such as changing trach ties, which is a standard, low-risk task.