NCLEX Questions, NCLEX PN Exam Practice Test Questions, NCLEX-PN Questions, Nurselytic

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NCLEX PN Exam Practice Test Questions

Extract:


Question 1 of 5

A client wanders away from home and is found 48 hours later sleeping on a park bench. The client is awake, alert, and oriented but cannot recall name, address, or events that occurred in the past 2 days. What is the priority nursing action?

Correct Answer: C

Rationale: Measuring vital signs is the priority to ensure physiological stability in a client with amnesia, which may indicate a medical emergency like transient global amnesia.

Question 2 of 5

Immediately following an acute battering incident in a violent relationship, the batterer may respond to the partner's injuries by

Correct Answer: B

Rationale: Minimizing the episode and underestimating the victim's injuries. Batterers often use denial to downplay the severity of their actions.

Extract:

Laboratory reference ranges
Creatinine
Male: 0.6-1.3 mg/dL
(53-114.9 μmol/L)

Female: 0.5-1.2 mg/dL
(44.2-106.1 μmol/L)
Hemoglobin
Male: 14.0-18.0 g/dL
(140-180 g/L)

Female: 12.0-16.0 g/dL
(120-160 g/L)
Platelets
150,000-400,000/mm3
(150-400 × 109/L)


Question 3 of 5

A client is scheduled for a percutaneous kidney biopsy at 1000. The practical nurse reviews the client's vital signs and most current serum laboratory results at 0600. Which of the following client findings is most important to report to the registered nurse?

Correct Answer: B

Rationale: Severe hypertension (180/100 mm Hg) increases bleeding risk during a kidney biopsy, requiring immediate reporting. Other findings are concerning but less urgent.

Extract:


Question 4 of 5

The nurse is preparing to perform wound irrigation for a client who sustained a scalp laceration. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Irrigation should flow from the least to most contaminated area to prevent infection spread. Other options are incorrect techniques.

Question 5 of 5

A blood transfusion has just been started on an adult. Which assessment is most essential during the first hour?

Correct Answer: A

Rationale: Temperature monitoring detects febrile transfusion reactions, a common early complication, prioritizing patient safety.

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