NCLEX-PN
NCLEX PN Exam Practice Test Questions
Extract:
Question 1 of 5
A nurse is assisting with preventive health screenings at a community health event. Which of the following client statements should the nurse recognize as a warning sign of cancer? Select all that apply.
Correct Answer: C,D,E
Rationale: A breast lump, an asymmetrical/irregular mole, and black stools are potential cancer signs (breast cancer, melanoma, gastrointestinal cancer). Seasonal cough and occasional heartburn are less concerning.
Question 2 of 5
A client has been tentatively diagnosed with Graves' disease (hyperthyroidism). Which of these findings noted on the initial nursing assessment requires quick intervention by the nurse?
Correct Answer: C
Rationale: Exophthalmos or protruding eyeballs is a distinctive characteristic of Graves' Disease. It can result in corneal abrasions with severe eye pain or damage when the eyelid is unable to blink down over the protruding eyeball. Eye drops or ointment may be needed.
Question 3 of 5
The nurse is evaluating the security of the client's tracheostomy ties. Which of the following methods is used to assess for tie tightness?
Correct Answer: A
Rationale: Placing one finger between the tie and neck ensures ties are secure but not overly tight, preventing tissue damage or airway obstruction.
Question 4 of 5
A nurse is planning to complete a physical examination of a toddler. Which approach is an appropriate intervention by the nurse?
Correct Answer: A
Rationale: Parental involvement reduces toddler anxiety during exams. Removing clothing first, visible equipment, or strict head-to-toe order may increase distress.
Question 5 of 5
The nurse at the radiological imaging center is admitting a client for an MRI of the right knee. Which information obtained by the nurse should be reported immediately to the prescribing health care provider?
Correct Answer: B
Rationale: An ICD is a contraindication for MRI due to magnetic interference, requiring immediate reporting. Other findings are less critical.