NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Question 1 of 5
A client complains of some discomfort after a below the knee amputation. Which action by the nurse is most appropriate initially?
Correct Answer: B
Rationale: Ensure that the stump is elevated the first day post-op. This priority intervention prevents pressure caused by pooling of blood, thus minimizing the pain. Without this measure, a firm elastic bandage, opioid narcotics, or guided imagery will have little effect. Opioid narcotics are given for severe pain.
Question 2 of 5
Following cardiac surgery, a client's urine output for the last hour is 20 mL. The nurse understands that this indicates which of the following?
Correct Answer: B
Rationale: Low urine output (20 mL/hour) post-cardiac surgery suggests insufficient cardiac output, impairing renal perfusion. Hyperkalemia, inadequate fluids, or diuresis are less likely causes without additional signs.
Question 3 of 5
The nurse receives the handoff of care report on four clients. Which client should the nurse see first?
Correct Answer: D
Rationale: Restlessness in a pneumonia client with low SpO2 (
D) suggests worsening hypoxia, requiring immediate assessment. Severe pain (
A) is urgent but stable. Pleural effusion (
B) and fever (
C) are less critical.
Question 4 of 5
A client scheduled for electroconvulsive therapy tells the nurse, 'I'm so afraid. What will happen to me during the treatment?' Which of the following statements is most therapeutic for the nurse to make?
Correct Answer: A
Rationale: Explaining that medication will relax the client addresses their fear and provides reassurance about the procedure's safety, making it the most therapeutic response.
Question 5 of 5
What is the most important aspect to include when developing a home care plan for a client with severe arthritis?
Correct Answer: A
Rationale: Maintaining and preserving function. Preserving joint function is critical for quality of life in arthritis.