NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
A client with chronic renal failure has a serum potassium level of 6.8 mEq/L. What should the nurse assess first?
Correct Answer: D
Rationale: The nurse should assess the client's cardiac rhythm using electrocardiography because an elevated serum potassium level may lead to a life-threatening cardiac arrhythmia. The client's blood pressure may change, but only as a result of the arrhythmia.
Therefore, the nurse should assess blood pressure later. The nurse also can delay assessing respirations and temperature because these aren't affected by the serum potassium level.
Extract:
On the second day of surgery, the mother reported fever and rapid respirations on her child. The child's temperature was 39°C.
Question 2 of 5
The first action taken by the nurse should be to
Correct Answer: A
Rationale: Fever and rapid respirations post-surgery may indicate infection or complications, requiring immediate physician notification.
Extract:
Question 3 of 5
A client was admitted with a diagnosis of pneumonia. When auscultating the client's breath sounds, the nurse hears inspiratory crackles in the right base. Temperature is 102.3 degrees Fahrenheit orally. What other finding would the nurse expect?
Correct Answer: C
Rationale: Mental confusion. Crackles suggest pneumonia, which is likely to be accompanied by mental confusion related to hypoxia.
Question 4 of 5
Which clinical finding would the nurse expect to assess first in a newborn with spastic cerebral palsy?
Correct Answer: D
Rationale: Cerebral palsy is a neuromuscular impairment resulting in muscular and reflexive hypertonicity and the criss-crossing, or scissoring leg movements.
Extract:
Post thoracentesis, the patient complains of blood-tinged sputum.
Question 5 of 5
Which of the following would the PN performs first?
Correct Answer: B
Rationale: Blood-tinged sputum may indicate a pneumothorax, so auscultating for breath sounds is the priority to assess lung status.