NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
A client is unconscious following a tonic-clonic seizure. What should the nurse do first?
Correct Answer: C
Rationale: Place the client in a side-lying position to maintain an open airway and prevent aspiration.
Question 2 of 5
The nurse is caring for a client with a history of gastroesophageal reflux disease (GERD). Which of the following lifestyle modifications should the nurse recommend?
Correct Answer: C
Rationale: Avoiding lying down for 2–3 hours after eating prevents acid reflux by allowing gastric emptying. Large meals (
A) worsen reflux, sleeping flat (
B) increases symptoms, and citrus fruits (
D) are acidic and irritating.
Question 3 of 5
Damage to which area of the brain results in receptive aphasia?
Correct Answer: C
Rationale: The temporal lobe contains the auditory association area. If the area is damaged in the dominant hemisphere, the client hears words but doesn't know their meaning. Damage to the parietal lobe affects the client's ability to identify special relationships with the environment. When damaged, the occipital lobe affects visual associations. The client can visualize objects but can't identify them. The frontal lobe acts as a storage area for memory.
Question 4 of 5
A nurse is caring for a 37-year-old woman with metastatic ovarian cancer admitted for nausea and vomiting. The physician orders total parenteral nutrition (TPN), a nutritional consult, and diet recall. Which of the following is the BEST indication that the patient's nutritional status has improved after 4 days?
Correct Answer: C
Rationale: Albumin levels are the best indicator of long-term nutritional status, reflecting protein stores. A level of 4.0 mg/dL (normal range 3.5–5.0 g/dL) suggests improved nutrition after TPN. Eating more (
A) is subjective, weight gain (
B) may reflect fluid retention, and low hemoglobin (
D) is unrelated to nutrition and more likely due to cancer or chemotherapy.
Question 5 of 5
A child with tetralogy of Fallot visits the clinic several weeks before planned surgery. The nurse should give priority attention to
Correct Answer: A
Rationale: Assessment of oxygenation. Tetralogy of Fallot involves defects that reduce pulmonary blood flow, leading to cyanosis and polycythemia, which can cause neurologic complications if oxygenation is inadequate.