NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
A client with Kawasaki disease has bilateral congestion of the conjunctivae, dry cracked lips, a strawberry tongue, and edema of the hands and feet followed by desquamation of fingers and toes. Which of the following nursing measures is most appropriate to meet the expected outcome of positive body image?
Correct Answer: C
Rationale: Explaining the disease progression helps the client and family understand that physical changes are temporary, supporting a positive body image. Other options address treatment or monitoring, not body image directly. Health Promotion and Maintenance
Question 2 of 5
The nurse observes a woman in the first stage of labor and encourages her to push before the cervix is fully dilated. The nurse's action could primarily lead to
Correct Answer: D
Rationale: The weight of the uterus can put pressure on the vena cava and aorta when a pregnant woman is flat on her back causing supine hypotension. Turning the woman to the side reduces this pressure and relieves postural hypotension.
Question 3 of 5
When death is imminent, the nurse observes the client for:
Correct Answer: B
Rationale: Cheyne-Stokes respiration, with alternating deep and shallow breathing and apnea, is a common sign of impending death, often linked to cardiac failure. The other signs are less specific. Psychosocial Integrity
Question 4 of 5
The nurse is giving home care to an older adult. The client says to the nurse, 'I wonder if I have cataracts. My mother went blind from cataracts you know.' Which additional comment the client makes would make the nurse suspect that he might have cataracts?
Correct Answer: B
Rationale: Night driving difficulty is a classic cataract symptom due to lens clouding causing glare and reduced contrast, unlike hyperopia, eye color changes, or photophobia.
Extract:
Baby Larry was born with Down's syndrome.
Question 5 of 5
When performing physical assessment, the nurse should carefully evaluate the infant's:
Correct Answer: A
Rationale: Cardiac anomalies often accompany other genetic problems such as Down syndrome. 30 to 40% of these infants have congenital heart defects.