NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
A client is admitted with a diagnosis of myocardial infarction (MI). The client is complaining of chest pain. The nurse knows that pain related to an MI is due to
Correct Answer: A
Rationale: Insufficient oxygenation of the cardiac muscle. Due to ischemia of the heart muscle, the client experiences pain. This happens because an MI can block or interfere with the normal cardiac circulation.
Question 2 of 5
The nurse is caring for a pregnant woman with pregnancy induced hypertension (PIH) receiving magnesium sulfate intravenously. In assessing the client, it is noted that respirations are 12, pulse and blood pressure have dropped significantly, and 8 hour output is 200 ml. What should the nurse do first?
Correct Answer: C
Rationale: The assessments strongly suggest magnesium sulfate toxicity. The nurse must discontinue the IV immediately and take measures to ensure the safety of the client.
Question 3 of 5
The family of a 90-year-old resident in a long-term care facility asks the nurse why the client only gets a shower three times a week. What information is most important for the nurse to include when answering the question?
Correct Answer: B
Rationale: Frequent showers can exacerbate dry skin in elderly clients, increasing irritation or breakdown risk. Staffing, energy, or activity levels are less relevant to skin health.
Question 4 of 5
The nurse's neighbor calls the nurse and asks for assistance with her child who developed a nosebleed after being hit in the nose by a ball. What should the nurse recommend to the neighbor?
Correct Answer: A
Rationale: Pinching the nose and leaning forward compresses the bleeding site and prevents blood swallowing, effectively managing a nosebleed caused by trauma.
Question 5 of 5
The day shift nurse provides handoff of care report to the oncoming night shift nurse. Which of the following statements by the nurse are appropriate to include in the report? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Acetaminophen administration (
A), morphine effect (
B), irrigation replacement (
D), and ultrasound schedule (E) are relevant to care. Family behavior (
C) is subjective and inappropriate.