NCLEX-PN
Free PN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
A client with mastoiditis has a left mastoidectomy with tympanoplasty. The nurse should observe the client for signs of damage to the sixth crania nerve, which include:
Correct Answer: B
Rationale: The sixth cranial nerve (abducens) controls lateral eye movement, so damage would result in an inability to look laterally.
Extract:
Mr. Smith is 67-year-old black male brought to the hospital by his wife, who stated that he fell down 20 minutes ago and has been unable to speak or move his right side since then, Mr. Smith has no significant past medical history. On exam, Mr. Smith is conscious, very anxious, his speech is garbed and unintelligible, he has a left facial droop, and he is completely right hemiphlegic.
Question 2 of 5
The most likely etiology for his symptoms is:
Correct Answer: A
Rationale: Symptoms of sudden speech loss, facial droop, and hemiplegia strongly suggest a cerebrovascular accident (stroke).
Extract:
Question 3 of 5
A nurse is conducting a community health education session on influenza prevention. Which of the following recommendations should be included?
Correct Answer: B
Rationale: Frequent handwashing reduces influenza transmission by removing viruses from surfaces. Vaccination is critical for all ages, masks are beneficial, and fluid intake supports health, not prevention.
Question 4 of 5
An adult is scheduled for a magnetic resonance imaging (MRI) exam today. Which finding must be reported immediately?
Correct Answer: D
Rationale: Pacemakers are contraindicated for MRI due to magnetic field interference, risking device malfunction, requiring immediate reporting, unlike pins, necklaces, or prior x-ray work.
Question 5 of 5
Steam inhalation is prescribed for a client. Which of the following safety precautions should the nurse include in the client's instructions?
Correct Answer: C
Rationale: Turning off the humidifier when not in use prevents electrical hazards and bacterial growth. Distilled water is ideal but not critical, overfilling is unnecessary, and cleaning frequency depends on use.