NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
A 65-year-old female client is experiencing postmenopausal bleeding. Which type of physician should this client be encouraged to see?
Correct Answer: B
Rationale: A gynecologist specializes in female reproductive health and is best suited to evaluate postmenopausal bleeding, which may indicate serious conditions like endometrial cancer. Coordinated Care
Extract:
When talking with a patient who has been diagnosed as having myasthenia gravis, the nurse observes that the patient has:
Question 2 of 5
When talking with a patient who has been diagnosed as having myasthenia gravis, the nurse observes that the patient has:
Correct Answer: B
Rationale: Myasthenia gravis causes muscle weakness, often leading to difficulty swallowing (dysphagia).
Extract:
Question 3 of 5
The nurse is assessing the dental status of an 18-month-old child. How many teeth should the nurse expect to examine?
Correct Answer: C
Rationale: An 18-month-old child typically has about 12 teeth, calculated by subtracting 6 from the child's age in months (18 - 6 = 12). Health Promotion and Maintenance
Question 4 of 5
A hospitalized client asks the nurse for 'something for pain.' Which information is most important for the nurse to gather before administering the medication? Select all that apply:
Correct Answer: A,B,C,D,F
Rationale: The nurse needs to know when the last dose was administered. Some clients request pain medication earlier than is ordered by the physician. Pain, the fifth vital sign, should be assessed using a pain scale and documented in the nursing notes whenever a pain medication is given. Pain is usually reassessed about 30 minutes after the medication is given. Physicians commonly order several different types of pain medication based on the client's condition. The nurse should know which medication and which route was used to administer prior dosages. Evaluating the effectiveness of medications is also an important nursing function when managing the client's pain.
Therefore, she should ask the client if the prior dose was helpful. The nurse should also note whether the client experienced any adverse effects of the medication. Most medications are ordered based on the client's admission weight, not current weight and height. A client's weight may fluctuate when he's in the hospital, so it's unlikely that the nurse will have the most current weight available. Also, taking steps to obtain the client's current weight postpones the pain treatment and can potentially worsen pain.
Question 5 of 5
A 35-year-old woman with three children is seen in the emergency room for a broken arm and facial lacerations. This is the third emergency room visit in the last three months for injuries. Each time, she tells the staff that she fell. This time, she confides to the LPN/LVN that 'my husband accidentally pushed me.' What should the LPN/LVN do with this information?
Correct Answer: B
Rationale: Suspected domestic violence requires reporting to the charge nurse for referral to social services or abuse resources, ensuring proper support. Questioning, legal referrals, or rights discussions are less appropriate initially.