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
The nurse's neighbor calls the nurse and asks for assistance with her child who developed a nosebleed after being hit in the nose by a ball. What should the nurse recommend to the neighbor?
Correct Answer: A
Rationale: Pinching the nose and leaning forward compresses the bleeding site and prevents blood swallowing, effectively managing a nosebleed caused by trauma.
Question 3 of 5
While assisting a client with AM care, the nurse notes small elevated skin lesions less than $0.5 \mathrm{cm}$ in diameter over the client's back. The nurse should describe the lesions as:
Correct Answer: D
Rationale: Papules are small, elevated skin lesions less than 0.5 cm in diameter, matching the description provided.
Question 4 of 5
A client with coronary artery disease is being seen in the clinic for a follow-up examination. During medication reconciliation, the nurse identifies which reported medication as requiring further investigation?
Correct Answer: C
Rationale: Naproxen (
C), an NSAID, increases cardiovascular risk and bleeding, requiring investigation in coronary artery disease. Isosorbide (
A), atorvastatin (
B), and fish oil (
D) are appropriate.
Question 5 of 5
Which procedures are appropriate for the nurse to use when obtaining an adult client's blood for a laboratory test? Select all that apply.
Correct Answer: A,B,C
Rationale: Avoiding the mastectomy side (
A), limiting attempts to two (
B), and drawing proximal to an IV (
C) are correct. A 15-degree angle (
D) is for IVs, not phlebotomy, and capillary samples avoid the finger pad center (E).