NCLEX-PN
Free PN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
A client with which of the following conditions is at risk for developing a high ammonia level?
Correct Answer: D
Rationale: Cirrhosis impairs the liver's ability to metabolize ammonia, leading to elevated levels and risk of hepatic encephalopathy. The other conditions do not directly affect ammonia levels. Reduction of Risk Potential
Extract:
If a patient comes into facility with muscle weakness, where should you focus your physical assessment?
Question 2 of 5
If a patient comes into facility with muscle weakness, where should you focus your physical assessment?
Correct Answer: B
Rationale: Muscle strength assessment directly evaluates the extent and distribution of weakness.
Extract:
Question 3 of 5
An infant had a repair of a myelomeningocele two days ago. Which assessment is most important to detect a problem commonly seen following myelomeningocele repair?
Correct Answer: D
Rationale: Hydrocephalus is a common complication post-myelomeningocele repair due to altered cerebrospinal fluid flow; measuring head circumference detects this by identifying increased intracranial pressure.
Question 4 of 5
While assessing an Rh positive newborn whose mother is Rh negative, the nurse recognizes the risk for hyperbilirubinemia. Which of the following should be reported immediately?
Correct Answer: C
Rationale: The elevated bilirubin is in the range that requires immediate intervention, such as phototherapy. At a serum bilirubin of 12 mg, the neonate is at risk for the development of kernicterus, or bilirubin encephalopathy. The provider determines the therapy appropriate after reviewing all laboratory findings.
Question 5 of 5
A woman has just started receiving external radiation therapy. When the nurse enters the client's room, she notes that the client is scrubbing the area vigorously with soap and water. When asked about her actions, the woman replies that she is trying to get rid of the ugly purple marks. What is the best action for the nurse at this time?
Correct Answer: A
Rationale: Radiation marks guide precise targeting; explaining their necessity prevents removal and ensures effective treatment.