NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
A nurse is making a home visit when a fire starts in the client’s kitchen trash can. The client has a fire extinguisher. The nurse should take which actions to properly operate the fire extinguisher? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Using the PASS technique (Pull, Aim, Squeeze, Sweep), the nurse should pull the pin, aim at the fire’s base, squeeze the handle, and sweep side to side to extinguish the fire. Shaking the canister is not required and may delay response.
Question 2 of 5
The client is admitted with left-sided congestive heart failure. In assessing the client for edema, the nurse should check the:
Correct Answer: B
Rationale: The neck veins should be assessed for distension in the client with congestive heart failure. Edema of the feet and hands does not indicate central circulatory overload, so answers A and C are incorrect. Edema of the sacrum is an indication of right-sided congestive heart failure, so answer D is incorrect.
Question 3 of 5
The nurse is caring for a client admitted with a sickle cell crisis. What assessment finding is not consistent with the diagnosis?
Correct Answer: C
Rationale: Sickle cell crisis typically causes elevated white blood cell counts due to inflammation or infection. Hepatomegaly, jaundice, and pain are consistent findings.
Question 4 of 5
An adult who is being admitted to the medical floor with a bleeding ulcer exhibits all of the following. Which finding suggests that the client may be experiencing alcohol withdrawal symptoms?
Correct Answer: C
Rationale: Tremors are a classic sign of alcohol withdrawal, distinguishing it from bleeding ulcer symptoms like hypotension, dizziness, or pallor.
Question 5 of 5
The nurse is making a home visit to a client with chronic obstructive pulmonary disease (COPD). The client tells the nurse that he used to be able to walk from the house to the mailbox without difficulty. Now, he has to pause to catch his breath halfway through the trip. Which diagnosis would be most appropriate for this client based on this assessment?
Correct Answer: A
Rationale: Activity intolerance caused by fatigue related to chronic tissue hypoxia. This reflects the client's reduced capacity for physical activity due to COPD.