NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
A nurse is assessing a patient's vital signs. Which of the following findings should be reported immediately?
Correct Answer: C
Rationale: A respiratory rate of 10 breaths per minute is abnormally low, indicating potential respiratory depression or distress, requiring immediate reporting. Other findings are within normal ranges.
Question 2 of 5
The nurse is assessing a client with a history of asthma who presents with wheezing and shortness of breath. The nurse should prioritize which of the following actions?
Correct Answer: A
Rationale: Wheezing and shortness of breath in asthma indicate bronchoconstriction, and administering a bronchodilator (e.g., albuterol) as ordered is the priority to relieve airway obstruction. Supine positioning (
B) worsens breathing, X-rays (
C) are diagnostic, and deep breathing (
D) is secondary.
Question 3 of 5
An elderly client denies that abuse is occurring. Which of the following factors could be a barrier for the client to admit being a victim?
Correct Answer: D
Rationale: Fear of reprisal or further violence is a common barrier preventing elderly clients from reporting abuse, due to dependency on the abuser or fear of consequences. The other options are less relevant. Psychosocial Integrity
Question 4 of 5
The nurse is assessing a client with suspected anaphylaxis. Which of the following findings would require immediate intervention?
Correct Answer: B
Rationale: Wheezing and stridor indicate airway obstruction in anaphylaxis, a life-threatening emergency requiring immediate intervention (e.g., epinephrine). Rash (
A), itching (
C), and nausea (
D) are less urgent but still require monitoring.
Extract:
Ipsilateral pupil:
Question 5 of 5
Ipsilateral pupil:
Correct Answer: A
Rationale: Ipsilateral pupil dilation often occurs in conditions like brain herniation affecting the same side.