NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
A nurse is assessing an elderly patient for signs of dehydration. Which of the following findings is most indicative of dehydration?
Correct Answer: A
Rationale: Dry mucous membranes are a classic sign of dehydration, reflecting fluid loss. Increased urine output, hypertension, and weight gain suggest fluid overload or other conditions, not dehydration.
Extract:
A patient with rheumatoid arthritis complains to the nurse about her back pain and said, 'I want a bed that is similar to what I have at home.'
Question 2 of 5
What would be an appropriate nursing response?
Correct Answer: D
Rationale: Assessment is the first step to be taken by the nurse. Asking the husband about the patient's home sleeping arrangements helps gather relevant information to address the patient's needs.
Extract:
Question 3 of 5
A client is admitted to the health care facility with bowel obstruction secondary to colon cancer. The nurse obtains a health history, measures vital signs, and auscultates for bowel sounds. Which step of the nursing process is the nurse performing?
Correct Answer: B
Rationale: During the data collection step of the nursing process, the nurse obtains the client's health history, measures vital signs, and performs a physical examination to gather data for use in formulating the nursing diagnoses. During the planning step, the nurse designs methods to help resolve client problems and meet client needs. During evaluation, the nurse determines the effectiveness of nursing interventions in achieving client goals. During implementation, the nurse takes actions to meet the client's needs.
Question 4 of 5
Which of the following nursing actions has the HIGHEST priority for a teenager admitted with burns to 50% of his body?
Correct Answer: C
Rationale: Severe burns (50% of the body) significantly increase the risk of infection due to loss of skin barrier. Maintaining aseptic technique during procedures is the highest priority to prevent life-threatening infections. Counseling (
A) and peer visits (
D) address psychosocial needs, which are secondary, and airborne precautions (
B) are unnecessary (standard precautions suffice).
Question 5 of 5
The LPN/LVN in a long-term care facility sees and hears a nursing assistant give a resident a hard slap. What initial action should the LPN/LVN take?
Correct Answer: B
Rationale: Reporting to the supervisor ensures immediate investigation of abuse, protecting the resident. Monitoring, writing reports, or police involvement are secondary.