NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
A client is being discharged after having a coronary artery bypass grafting x5. The client asks questions about the care of chest and leg incisions. Which instructions should the nurse reinforce? Select all that apply.
Correct Answer: A, B, D
Rationale: Reporting sensory changes (
A), signs of infection (
B), and washing gently (
D) promote healing. Soaking and peroxide (
C) can disrupt healing, and compression hose (E) are not routinely needed.
Question 2 of 5
The nurse working on a pediatric oncology unit recognizes which as a personal coping strategy for remaining effective when caring for dying children?
Correct Answer: D
Rationale: Increasing exercise (
D) is a healthy coping strategy to manage stress. Attending memorials (
A), avoiding grief expression (
B), or ending contact (
C) may not promote long-term emotional resilience.
Question 3 of 5
The nurse is contributing to the plan of care for a client with pertussis. Which of the following interventions should the nurse suggest including in the client's plan of care? Select all that apply.
Correct Answer: A, B, E
Rationale: Monitoring respiratory effort (
A), droplet precautions (
B), and frequent fluids (E) manage pertussis symptoms and transmission. Negative pressure rooms (
C) are for airborne diseases, and cough suppressants (
D) may worsen mucus clearance.
Question 4 of 5
The home health nurse visits a 72-year-old client with pneumonia who was discharged from the hospital 3 days ago. The client has less of a productive cough at night but now reports sharp chest pain with inspiration. Which finding is most important for the nurse to report to the supervising registered nurse?
Correct Answer: D
Rationale: Pleural friction rub (
D) indicates pleuritis or pleural effusion, a serious complication requiring immediate reporting. Other findings (A, B,
C) are less specific or urgent.
Question 5 of 5
A 70 year-old post-operative client has elevated serum BUN, HCT, Cl, and Na+. Creatinine and K+ are within normal limits. The nurse should perform additional assessments to confirm that an actual problem is:
Correct Answer: D
Rationale: Fluid volume deficit. In fluid volume deficit, serum BUN, Na+, and hematocrit may be elevated secondary to hemoconcentration.