NCLEX-PN
NCLEX PN Practice Test Questions
Extract:
Question 1 of 5
A client arrives at the clinic for a follow-up after an emergency department visit the night before. The client sustained an ulnar fracture, and a fiberglass cast was applied. Which of the following teachings related to cast care should the nurse reinforce? Select all that apply.
Correct Answer: A,B,C,E
Rationale: Hot areas or odors (
A) suggest infection, keeping the cast dry (
B) prevents skin breakdown, elevation (
C) reduces swelling, and soft objects (E) avoid injury. Numbness and tingling (
D) are not normal and may indicate nerve compression, requiring immediate reporting.
Question 2 of 5
A person who has psoriasis is seen in the clinic. The lesions are covered with coal tar. Which instruction should the nurse give the client?
Correct Answer: B
Rationale: Coal tar increases photosensitivity; protecting the area from sunlight for 24 hours prevents burns. Nausea, washing off, or skin darkening are not primary concerns.
Question 3 of 5
A client returns from the operating room after a right orchiectomy. For the immediate post-operative period the nursing priority would be to
Correct Answer: B
Rationale: Due to the location of the incision, pain management is the priority. Bladder spasms are more related to prostate surgery.
Question 4 of 5
A Hispanic client confides in the nurse that she is concerned that staff may give her newborn the 'evil eye.' The nurse should communicate to other personnel that the appropriate approach is to
Correct Answer: A
Rationale: In many cultures, an 'evil eye' is cast when looking at a person without touching him. Thus, the spell is broken by touching while looking or assessing.
Question 5 of 5
An adult client is showing signs of developing hypovolemic shock. Which finding is most likely to be present?
Correct Answer: C
Rationale: Hypovolemic shock reduces circulating volume, decreasing renal perfusion and causing oliguria (decreased urine output). Blood pressure typically narrows, heart rate increases, and respiratory rate rises.