NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
A factory worker is brought to the nurse's office after a metal fragment enters her right eye. The nurse should:
Correct Answer: D
Rationale: Covering both eyes prevents movement and further damage, and ER transport ensures specialist care. Covering only one eye, attempting removal, or flushing risks worsening the injury.
Extract:
When obtaining a health history from a young patient with probable acute lymphocytic leukemia (ALL), the clinical manifestations the nurse should expect to be present:
Question 2 of 5
When obtaining a health history from a young patient with probable acute lymphocytic leukemia (ALL), the clinical manifestations the nurse should expect to be present:
Correct Answer: C
Rationale: Anorexia and petechiae are common in ALL due to bone marrow suppression.
Extract:
To best promote continued improvement in a patient's respiratory status after chest drainage is discontinued, the nurse should:
Question 3 of 5
To best promote continued improvement in a patient's respiratory status after chest drainage is discontinued, the nurse should:
Correct Answer: B
Rationale: Coughing and deep breathing promote lung expansion and secretion clearance post-chest drainage.
Extract:
After a patient has cataract surgery, the nurse should:
Question 4 of 5
After a patient has cataract surgery, the nurse should:
Correct Answer: D
Rationale: Avoiding vigorous activities like brushing prevents increased intraocular pressure post-cataract surgery.
Extract:
Question 5 of 5
A nurse is caring for a 37-year-old woman with metastatic ovarian cancer admitted for nausea and vomiting. The physician orders total parenteral nutrition (TPN), a nutritional consult, and diet recall. Which of the following is the BEST indication that the patient's nutritional status has improved after 4 days?
Correct Answer: C
Rationale: Albumin levels are the best indicator of long-term nutritional status, reflecting protein stores. A level of 4.0 mg/dL (normal range 3.5–5.0 g/dL) suggests improved nutrition after TPN. Eating more (
A) is subjective, weight gain (
B) may reflect fluid retention, and low hemoglobin (
D) is unrelated to nutrition and more likely due to cancer or chemotherapy.