NCLEX-PN
NCLEX PN Practice Test Questions
Extract:
Question 1 of 5
A client has been hospitalized after an automobile accident. A full leg cast was applied in the emergency room. The most important reason for the nurse to elevate the casted leg is to
Correct Answer: D
Rationale: Elevating the leg both improves venous return and reduces swelling. Client comfort will be improved as well.
Question 2 of 5
Which response by the nurse would best assist the chemically impaired client to deal with issues of guilt?
Correct Answer: B
Rationale: This response encourages the client to get in touch with their feelings and utilize problem-solving steps to reduce guilt feelings.
Question 3 of 5
An adolescent client has been hospitalized for 2 months for an eating disorder. She asks the nurse what to tell her classmates about her long absence. The nurse can best help the client by:
Correct Answer: C
Rationale: Role-playing helps the client prepare for social interactions, building confidence in handling questions about her absence.
Question 4 of 5
The nurse is caring for four antepartum clients. Which client should the nurse see first?
Correct Answer: C
Rationale: A suspected ectopic pregnancy is a medical emergency due to the risk of rupture and internal bleeding, which can be life-threatening. Abdominal and shoulder pain are hallmark symptoms, indicating possible referred pain from diaphragmatic irritation. This client requires immediate assessment and intervention, prioritizing over hyperemesis gravidarum (which, while serious, is less immediately life-threatening), molar pregnancy (which needs monitoring but is not an acute emergency), and threatened miscarriage (which requires evaluation but is less urgent without active bleeding or pain).
Question 5 of 5
The nurse measures the head and chest circumferences of a 20 month-old infant. After comparing the measurements, the nurse finds that they are approximately the same. What action should the nurse take?
Correct Answer: D
Rationale: Record these normal findings. Head and chest circumferences are typically equal by 1 to 2 years of age.