NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
A client has chronic obstructive pulmonary disease exacerbation. The pulse oximeter shows a saturation of 86% on room air. The nurse finds bilateral diminished lung sounds and low-pitched wheezing posteriorly, shallow respirations, respiratory rate of 32/min, and use of accessory muscles. What is the most appropriate oxygen delivery device for this client?
Correct Answer: D
Rationale: A Venturi mask (
D) delivers precise oxygen concentrations, ideal for COPD exacerbation to avoid hypercapnia. Nasal cannula (
A), non-rebreathing mask (
B), and Oxymizer (
C) are less precise.
Question 2 of 5
The practical nurse is assisting with care for several newborns in the nursery. Which of the following findings are abnormal and need to be reported to the registered nurse? Select all that apply.
Correct Answer: A, D, E
Rationale: Chest retractions (
A), jaundice (
D), and no voiding (E) are abnormal and require reporting. Flaking skin (
B) and head circumference (
C) are normal for newborns.
Extract:
Laboratory reference ranges
INR (Therapeutic – atrial fibrillation)
2.0-3.0
Question 3 of 5
The nurse has reinforced teaching for a client with atrial fibrillation who is receiving warfarin. Which of the following statements by the client would indicate a correct understanding of the teaching? Select all that apply.
Correct Answer: A, C
Rationale: Antibiotics affecting INR (
A) and consistent timing (
C) are correct. More leafy greens (
B) can lower INR, INR of 4-5 (
D) is too high, and doubling doses (E) is dangerous.
Extract:
Question 4 of 5
A client has chronic obstructive pulmonary disease exacerbation. The pulse oximeter shows a saturation of 86% on room air. The nurse finds bilateral diminished lung sounds and low-pitched wheezing posteriorly, shallow respirations, respiratory rate of 32/min, and use of accessory muscles. What is the most appropriate oxygen delivery device for this client?
Correct Answer: D
Rationale: A Venturi mask (
D) delivers precise oxygen concentrations, ideal for COPD exacerbation to avoid hypercapnia. Nasal cannula (
A), non-rebreathing mask (
B), and Oxymizer (
C) are less precise.
Question 5 of 5
A parent brings her 3 month-old into the clinic, reporting that the child seems to be spitting up all the time and has a lot of gas. The nurse expects to find which of the following on the initial history and physical assessment?
Correct Answer: B
Rationale: This infant could be experiencing gastroesophageal reflux, or could be allergic to the formula. Restlessness, irritability and increased mucus production can develop if an allergy is present.