NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
A client is admitted to the hospital with a diagnosis of deep vein thrombosis. During the initial assessment, the client complains of sudden shortness of breath. The SaO2 is 87. The priority nursing assessment at this time is
Correct Answer: D
Rationale: Lung sounds are critical assessments at this point. The nurse should be alert to crackles or a pleural friction rub, highly suggestive of a pulmonary embolism.
Question 2 of 5
While assessing a client with AIDS, the nurse notes a reddish-purple discoloration on the client's eyelid. This finding is most consistent with:
Correct Answer: D
Rationale: Kaposi's sarcoma, common in AIDS, presents as reddish-purple lesions, including on the eyelid. Other conditions affect the retina or eyelid structure differently.
Extract:
A 25-year-old young male comes into the ER following a motorbike accident. Upon obtaining a recent history, the patient states he fell in the ground and hit his head on the pavement. He reports that he was unconscious for 15 seconds and then confused for several minutes.
Question 3 of 5
What is the first diagnostic test to perform on this patient?
Correct Answer: C
Rationale: A CT scan must be performed as soon as possible to rule out a cerebral hemorrhage. Blurred vision and loss of consciousness may indicate a severe brain injury.
Extract:
Question 4 of 5
The nurse caring for a client with iron deficiency has reiterated dietary teaching of foods high in iron. The nurse recognizes that teaching has been effective when the client selects which meal plan?
Correct Answer: B
Rationale: This selection is the one with the highest iron content. Other foods high in iron include Cream of Wheat, oatmeal, liver, collard greens, mustard greens, clams, chili with beans, brown rice, and dried apricots. Answers A, C, and D are not high in iron.
Question 5 of 5
A client with a history of seizures is prescribed phenytoin (Dilantin) 100 mg tid. The nurse should instruct the client to
Correct Answer: B
Rationale: Alcohol can lower phenytoin levels, increasing seizure risk, so avoidance is critical. Taking with meals (
A) is unnecessary, calcium (
C) is unrelated, and stopping for a rash (
D) requires physician consultation due to potential Stevens-Johnson syndrome.