NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
A primigravida, 26 years old and 33 weeks gestation, is admitted to the hospital with painless vaginal bleeding. She reports that the bleeding, which started 2 hours ago, has lessened in amount. Which of the following measures should be included in the client's care?
Correct Answer: B
Rationale: Counting the number of pads used quantifies blood loss, aiding in the assessment of conditions like placenta previa, which causes painless bleeding.
Question 2 of 5
An elderly client has returned to her room following internal fixation of a fractured hip. To prevent dislocation of the hip prosthesis, the nurse should:
Correct Answer: D
Rationale: Maintaining the hip in an abducted position prevents dislocation of the prosthesis. Adduction or lying on the affected side increases dislocation risk. Supine is neutral but less specific.
Question 3 of 5
The nurse is assessing a client with a history of heart failure. Which of the following findings would indicate worsening heart failure?
Correct Answer: A
Rationale: Weight gain of 2 kg in 24 hours indicates fluid retention, a sign of worsening heart failure due to decreased cardiac output. Normal blood pressure (
B), heart rate (
C), and clear lungs (
D) do not suggest decompensation.
Question 4 of 5
When the nurse asks a client to follow a moving finger, the nurse is assessing which cranial nerve?
Correct Answer: C
Rationale: Cranial nerve IV (trochlear) controls the superior oblique eye muscle, responsible for downward and inward eye movement, tested by following a moving finger.
Question 5 of 5
The mother of a 3-year-old is complaining that her son still throws temper tantrums when he doesn't get his way. How should the nurse advise the mother to respond?
Correct Answer: A
Rationale: This child is in Erikson's developmental stage of initiative versus guilt. Guilt develops when the child is made to feel bad about his behavior. Ignoring the negative behavior shows the child that he'll gain nothing through negative behavior such as temper tantrums. Promising the child a new toy or giving in to his demands will reinforce his negative behavior by rewarding his tantrums. Mimicking the child will make him feel guilty.