NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
A 4-year-old admitted with Wilms tumor is scheduled for a right nephrectomy in the morning. Which nursing action is a priority pre-operatively?
Correct Answer: D
Rationale: Avoiding abdominal palpation (
D) prevents tumor rupture in Wilms tumor, a critical pre-operative priority. Emotional assessment (
A), lung sounds (
B), and BP monitoring (
C) are important but secondary.
Question 2 of 5
Which of the following are violations of the Health Insurance Portability and Accountability Act regarding confidentiality of privileged health information? Select all that apply.
Correct Answer: A,C,D
Rationale: Sharing pregnancy results without consent (
A), calling names publicly (
C), and disclosing a diagnosis to non-care staff (
D) violate HIPAA. Overhearing through a curtain (
B) is unintentional, and a general farewell (E) is not a violation.
Question 3 of 5
While admitting a client to an acute-care psychiatric unit, the nurse asks about substance abuse based on knowledge that:
Correct Answer: B
Rationale: The failure to address substance abuse among clients with psychiatric disorders interferes with treatment effectiveness and contributes to relapse. Misdiagnosis of a psychiatric disorder, suboptimal pharmacological treatment, neglect of appropriate interventions, or an inappropriate referral might also occur.
Question 4 of 5
The nurse is caring for a client who had a forceps-assisted vaginal birth and is reporting severe vaginal pain and fullness. The nurse notes the fundus is firm and midline with a scant amount of lochia rubra. The client is most likely experiencing
Correct Answer: B
Rationale: Severe vaginal pain and fullness with a firm fundus and scant lochia suggest a vaginal hematoma (
B). Uterine atony (
A) causes heavy bleeding, cervical lacerations (
C) cause bleeding, and uterine inversion (
D) involves a displaced fundus.
Question 5 of 5
Which of the following organs is most likely to suffer permanent damage from shock?
Correct Answer: D
Rationale: The kidneys are highly susceptible to permanent damage from shock due to reduced perfusion, leading to acute kidney injury.