NCLEX-PN
NCLEX Practice Test PN Questions
Extract:
Question 1 of 5
A client diagnosed with pneumonia is experiencing shortness of breath, chest pain, and orthopnea. The chest x-ray reveals a very large right pleural effusion. Which intervention should the nurse anticipate for this client?
Correct Answer: C
Rationale: Thoracentesis removes fluid from the pleural space, relieving pressure on the lung and improving breathing in a large pleural effusion.
Question 2 of 5
A client with a partial bowel obstruction has a Miller-Abbot tube inserted to decompress the bowel. While the tube is in place, the nurse should give priority to:
Correct Answer: C
Rationale: Preventing skin breakdown by changing the tape daily is critical to avoid tissue damage around the insertion site. Irrigation and suction settings depend on physician orders, and advancing the tube is not a nursing priority without specific instructions.
Question 3 of 5
A nurse has received report from the off-going shift that a client is confused and has been identified as a high risk for falls. The nurse shares this information with the unlicensed assistive personnel (UAP). Which finding by the nurse requires intervention?
Correct Answer: C
Rationale: Raising all four side rails is a restraint and can increase fall risk if the client attempts to climb over them. It also violates standards of care unless specifically prescribed.
Question 4 of 5
A client is receiving scheduled doses of carbidopa-levodopa. The nurse evaluates the medication as having the intended effect if which finding is noted?
Correct Answer: B
Rationale: Carbidopa-levodopa treats Parkinson's symptoms like bradykinesia, improving spontaneous activity, which is the primary therapeutic goal.
Question 5 of 5
A victim of domestic violence tells the batterer she needs a little time away. How would the nurse expect that the batterer might respond?
Correct Answer: B
Rationale: With fear of rejection causing increased rage toward the victim. Fear of abandonment often escalates abusive behavior.