NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
A nurse is caring for a patient with a tracheostomy. Which of the following actions should the nurse take to prevent complications?
Correct Answer: C
Rationale: Keeping the cuff inflated maintains airway patency and prevents aspiration, but pressure must be monitored to avoid tracheal damage. Routine suctioning, hydrogen peroxide, and daily tie changes are not standard.
Question 2 of 5
The nurse is caring for clients in the student health center. A client confides to the nurse that the client's boyfriend informed her that he tested positive for hepatitis B. Which of the following responses by the nurse is BEST?
Correct Answer: D
Rationale: Hepatitis B is transmitted through sexual contact or parenteral routes. Assessing exposure by asking about unprotected sex is the best initial response to determine the client’s risk and guide further actions (e.g., testing, HBIG, or vaccination).
Choice A is empathetic but non-assessing, B and C assume exposure without confirmation, and D prioritizes assessment.
Question 3 of 5
A 76-year-old man living at the long-term care facility has lost 10 lb in the last two months. He states that although he has had dentures for two years, they have not felt comfortable for the past three or four months so he rarely uses them at mealtime. The nurse's first priority would be to ask the client's physician to do which of the following?
Correct Answer: B
Rationale: A dental consult addresses ill-fitting dentures, the root cause of weight loss, prioritizing correction to improve nutrition.
Question 4 of 5
When death is imminent, the nurse observes the client for:
Correct Answer: B
Rationale: Cheyne-Stokes respiration, with alternating deep and shallow breathing and apnea, is a common sign of impending death, often linked to cardiac failure. The other signs are less specific. Psychosocial Integrity
Question 5 of 5
What significant event occurs in the orientation phase of a nurse-client relationship?
Correct Answer: B
Rationale: Identifying transference phenomena, where clients project feelings onto the nurse, is key in the orientation phase to establish a therapeutic relationship. The other events are less specific to this phase. Psychosocial Integrity