NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
A parent asks the nurse about a 6 year-old child's apparent need for punishment following a series of misbehaviors. The child was diagnosed with rheumatic fever a few weeks ago. Which response is most appropriate?
Correct Answer: D
Rationale: A major manifestation of rheumatic fever that reflects central nervous system involvement is chorea. Early symptoms of chorea include behavior changes and clumsiness. Chorea is characterized by sudden, aimless, irregular movements of the extremities, involuntary facial grimaces, speech disturbances, emotional lability, and muscle weakness.
Extract:
The school nurse found out that the boy in the class has head lice.
Question 2 of 5
What is your nursing priority?
Correct Answer: C
Rationale: Informing the mother ensures prompt treatment and prevents spread.
Extract:
Question 3 of 5
An adult is scheduled for surgery today and has signed an operative permit. As the nurse is about to administer the client's preoperative medication, the client says that she has changed her mind and no longer wishes to have the surgery. How should the nurse respond?
Correct Answer: C
Rationale: The client has the right to withdraw consent. Notifying the physician allows discussion and respects autonomy. Signed consents are not binding, medication should be withheld, and reassurance dismisses concerns.
Extract:
Health teachings on foods rich in folic acid on a pregnant mother to prevent complications on a growing fetus is under:
Question 4 of 5
Health teachings on foods rich in folic acid on a pregnant mother to prevent complications on a growing fetus is under:
Correct Answer: B
Rationale: Folic acid education is primary prevention, reducing the risk of neural tube defects.
Extract:
John H is a 66-year-old man with a history of heavy smoking presented himself to the ER due to difficulty breathing of 2 years duration. He was prescribed some breathing medication by his family physician. However, for the last two months he noted progression of the severity of symptoms and new medications were prescribed. A week prior to admission, his difficulty in breathing worsened. There was non-productive cough, easy fatiguability and basilar rales. He was diagnosed with respiratory problems with acute exacerbation and stemming pneumonia. He was started on antibiotics, IV solumedrol Q6 hourly, oxygen at 2 L/NC; bed rest; diet as tolerated; and ABG. Mr. H was also diagnosed with effusion of the right lung. He is now scheduled for chest tube insertion.
Question 5 of 5
What prevents air from entering the chest space when a patient has a chest tube?
Correct Answer: A
Rationale: The water seal chamber prevents air re-entry, maintaining negative pleural pressure.