NCLEX-PN
PN NCLEX Practice Test Questions
Extract:
Question 1 of 5
A client is brought to the emergency room with injuries sustained in an auto accident. While performing his assessment, the nurse notes the presence of Cullen's sign. Cullen's sign is suggestive of:
Correct Answer: D
Rationale: Cullen's sign, a bluish discoloration around the umbilicus, indicates retroperitoneal or intra-abdominal bleeding, often due to trauma or conditions like pancreatitis. It is not specific to neurological injury, spleen rupture, or bowel perforation.
Question 2 of 5
The nurse is caring for a client who reported having thoughts of self-injury yesterday. Which of the following statements by the client should the nurse recognize as risk factors for suicide? Select all that apply.
Correct Answer: A,C,D,F
Rationale: Unemployment, access to firearms, prior overdose, and hopelessness are established suicide risk factors. Marriage with children and religious activities are protective factors.
Question 3 of 5
The nurse is assessing a client's home in preparation for discharge. Which of the following should be given priority consideration?
Correct Answer: A
Rationale: Functional communication patterns between family members are fundamental to meeting the needs of the client and family.
Question 4 of 5
The nurse is suctioning an adult's tracheostomy tube. What action is essential before starting to suction the client?
Correct Answer: B
Rationale: Pre-oxygenation with high oxygen levels prevents hypoxia during tracheostomy suctioning, critical for patient safety, unlike water, consents, or communication aids.
Question 5 of 5
The nurse is reinforcing instructions to a client receiving oxybutynin for overactive bladder. Which client statement indicates that further teaching is required?
Correct Answer: A
Rationale: Planning a beach vacation suggests unawareness of oxybutynin’s heat intolerance side effect, increasing dehydration risk. Preventing constipation, avoiding driving, and adequate hydration are correct.