NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
A client who is being evaluated for suspected ectopic pregnancy reports sudden-onset, severe, right lower abdominal pain and dizziness. Which of the following additional assessment findings will the nurse anticipate if the client is experiencing a ruptured ectopic pregnancy? Select all that apply.
Correct Answer: A, D, E
Rationale: Low blood pressure (
A), tachycardia (
D), and shoulder pain (E) indicate hemorrhage from a ruptured ectopic pregnancy. Crackles (
B) and jugular vein distension (
C) are unrelated.
Question 2 of 5
The practical nurse is collaborating with the registered nurse to form a care plan for a client diagnosed with placenta previa at 33 weeks gestation. Which of the following does the nurse anticipate being included in the plan of care? Select all that apply.
Correct Answer: B, C, D
Rationale: Nonstress tests (
B), cesarean preparation (
C), and type and screen (
D) monitor and prepare for bleeding risks in placenta previa. Activity as tolerated (
A) and vaginal exams (E) increase bleeding risk.
Question 3 of 5
The nurse enters an infant's room and observes that the infant is responsive but is choking and turning blue. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Back slaps and chest thrusts (
C) are the appropriate intervention for a choking infant. CPR (
A) is for cardiac arrest, abdominal thrusts (
B) are for older children, and blind sweeps (
D) are dangerous.
Question 4 of 5
The nurse is caring for a client with hyperosmolar hyperglycemic state (HHS). The nurse should recognize which characteristic is most consistent with HHS?
Correct Answer: B
Rationale: Altered consciousness (
B) is a hallmark of HHS due to severe hyperglycemia and dehydration. Abdominal pain (
A) and Kussmaul respirations (
D) are more typical of DKA, and HHS is associated with type 2 diabetes (
C).
Question 5 of 5
The nurse is caring for a client who had an endoscopic procedure yesterday to stop upper gastrointestinal bleeding and who started a clear liquid diet today. Which of the following foods would be appropriate to offer to this client? Select all that apply.
Correct Answer: A, B, C, E
Rationale: Clear liquids include apple juice (
A), chicken broth (
B), cranberry juice (
C), and unsweetened tea (E). Cream of chicken soup (
D) and ice cream (F) are not clear liquids.