NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
A child with tetralogy of Fallot visits the clinic several weeks before planned surgery. The nurse should give priority attention to
Correct Answer: A
Rationale: Assessment of oxygenation. Tetralogy of Fallot involves defects that reduce pulmonary blood flow, leading to cyanosis and polycythemia, which can cause neurologic complications if oxygenation is inadequate.
Question 2 of 5
The nurse is caring for an older adult client who has been on bed rest for two weeks because she has had the flu. The nurse should carefully observe the client for which possible complications? Select all that apply.
Correct Answer: A,B,C,D,E
Rationale: Prolonged bed rest increases risks of muscle atrophy, joint contractures, urinary retention, constipation, and footdrop due to immobility.
Question 3 of 5
The nurse is caring for a client with a diagnosis of chronic obstructive pulmonary disease (COPD). The nurse observes the client having periods of apnea during sleep. The nurse should
Correct Answer: C
Rationale: Periods of apnea during sleep in a COPD client may indicate sleep apnea or worsening respiratory status, requiring medical evaluation. Increasing oxygen (
A) without orders is unsafe, repositioning (
B) may not address apnea, and only documenting (
D) delays intervention.
Extract:
The nurse recognizes that a pacemaker is indicated when a patient is experiencing:
Question 4 of 5
The nurse recognizes that a pacemaker is indicated when a patient is experiencing:
Correct Answer: C
Rationale: Heart block disrupts normal conduction, often requiring a pacemaker to maintain rhythm.
Extract:
Question 5 of 5
The nurse discovers that the parents of a 2 year-old child continue to use an apnea monitor each night. The parents state: 'We are concerned about the possible occurrence of sudden infant death syndrome (SIDS).' In order to take appropriate action, the nurse must understand that
Correct Answer: D
Rationale: 95% of SIDS cases occur before 6 months of age. Peak age of SIDS occurrence is 2 to 4 months and 95% of cases occur by 6 months of age. It is the leading cause of death in infants 1 month to 1 year of age.