NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
A man who had a right below-the-knee amputation is placed in the prone position for one hour three times a day. The nurse explains to the man that this is done to prevent which problem?
Correct Answer: C
Rationale: Prone positioning stretches hip flexors, preventing contractures post-amputation. It doesn't primarily address atelectasis, thrombophlebitis, or infection.
Question 2 of 5
The nurse is caring for a client with hyperosmolar hyperglycemic state (HHS). The nurse should recognize which characteristic is most consistent with HHS?
Correct Answer: B
Rationale: Altered consciousness (
B) is a hallmark of HHS due to severe hyperglycemia and dehydration. Abdominal pain (
A) and Kussmaul respirations (
D) are more typical of DKA, and HHS is associated with type 2 diabetes (
C).
Question 3 of 5
The nurse is providing care to a client with posttraumatic stress disorder following a terrorist attack at the client's place of worship. The client says, 'I'm just so worried all the time. I will never be safe again!' What is the priority nursing action?
Correct Answer: A
Rationale: Acknowledging feelings (
A) builds trust and validates the client's experience, making it the priority. Assessing support (
B), discussing trauma (
C), or offering medication (
D) are secondary.
Question 4 of 5
The nurse is performing tracheostomy care for a client who has a tracheostomy tube with a disposable inner cannula. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Suctioning before removing the inner cannula (
C) clears secretions and ensures airway patency. Alcohol-based solutions (
A) are irritating, humidification (
B) is needed, and removing the outer cannula (
D) is unsafe.
Question 5 of 5
The nurse is reviewing laboratory test results for an 80-year-old client who has a methicillin-resistant Staphylococcus aureus infection and is receiving vancomycin. Which of the following test results would require immediate follow-up?
Correct Answer: A
Rationale: Elevated BUN (
A) may indicate nephrotoxicity, a serious side effect of vancomycin requiring immediate follow-up. Decreased iron (
B) or triglycerides (
C) are not directly related to vancomycin toxicity. Elevated glucose (
D) may need monitoring but is less urgent.