NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
A client who is 12 hour post-op becomes confused and says: 'Giant sharks are swimming across the ceiling.' Which assessment is necessary to adequately identify the source of this client's behavior?
Correct Answer: C
Rationale: Pulse oximetry. A sudden change in mental status in any post-op client should trigger a nursing intervention directed toward respiratory evaluation. Pulse oximetry would be the initial assessment. If available, arterial blood gases would be better. Acute respiratory failure is the sudden inability of the respiratory system to maintain adequate gas exchange which may result in hypercapnia and/or hypoxemia. Clinical findings of hypoxemia include these findings which are listed in order of initial to later findings: restlessness, irritability, agitation, dyspnea, disorientation, confusion, delirium, hallucinations, and loss of consciousness.
Question 2 of 5
The nurse is assessing a child admitted who has a fractured humerus. The family says the child fell. Which piece of information would cause the nurse to suspect child abuse?
Correct Answer: C
Rationale: Small round burns suggest cigarette burns, a specific sign of abuse. Frequent ER visits or bruising are concerning but less definitive; hand-holding is normal.
Question 3 of 5
A middle-aged woman tells the nurse that she has been experiencing irregular menses for the past six months. The nurse should assess the woman for other symptoms of:
Correct Answer: C
Rationale: Irregular menses in a middle-aged woman suggests perimenopause, a transitional phase with hormonal changes lasting about five years. Menopause is the permanent cessation of menses, and postmenopause follows it. Health Promotion and Maintenance
Extract:
The child with a diagnosis of laryngotracheobronchtis
Question 4 of 5
The child with a diagnosis of laryngotracheobronchtis should be observed for:
Correct Answer: B
Rationale: Laryngotracheobronchitis (croup) is characterized by inspiratory stridor and potential lethargy due to airway obstruction.
Extract:
Question 5 of 5
The nurse is talking with a group of young people who are preparing to spend a weekend camping in the woods. Which information is essential to include in the discussion?
Correct Answer: A
Rationale: Long pants and sleeves prevent tick bites, reducing Lyme disease risk, a critical precaution. Sunscreen is needed, salt tablets are outdated, and poison ivy reacts quickly.