NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 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.
Question 2 of 5
A client with moderate pregnancy-induced hypertension (PIH) is a poor candidate for regional anesthesia during labor and delivery. If she were to receive this form of anesthesia, she might experience:
Correct Answer: A
Rationale: In a client with PIH, uteroplacental perfusion may be inadequate and gas exchange may be poor. Regional anesthesia increases the risk of hypotension resulting from sympathetic blockade, possibly causing fetal and maternal hypoxia. Hypertension, seizures, and renal toxicity aren't associated with regional anesthesia.
Question 3 of 5
The nurse is providing home care for a client who has Parkinson's disease and is ambulatory. Which activity will help to prevent slipping and falling?
Correct Answer: C
Rationale: Sitting for extended periods reduces ambulation time, minimizing fall risk in Parkinson's, where gait instability is common. Smooth soles, bed rails, or rugs increase risks.
Question 4 of 5
While assessing a client with AIDS, the nurse notes a reddish-purple discoloration on the client's eyelid. This finding is most consistent with:
Correct Answer: D
Rationale: Kaposi's sarcoma, common in AIDS, presents as reddish-purple lesions, including on the eyelid. Other conditions affect the retina or eyelid structure differently.
Extract:
When changing Ms. Wilson's postoperative dressing, the nurse is careful not to introduce microorganisms into the surgical incision.
Question 5 of 5
This is an example of:
Correct Answer: C
Rationale: Intact skin is the first line of defense against entry of microorganisms. A surgical incision is a portal of entry, so a technique that requires the absence of all microorganisms (surgical asepsis) is essential.