NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
A woman at 38-weeks gestation comes to the emergency room with complaints of vaginal bleeding. Which of the following statements, if made by the client, would suggest to the nurse placenta previa as the cause of the bleeding?
Correct Answer: A
Rationale: Placenta previa is characterized by painless vaginal bleeding, as the placenta covers the cervix, causing bleeding without contractions.
Choice A reflects this. Nausea (
B) is unrelated, activity-related bleeding (
C) suggests abruptio placentae, and cramps (
D) indicate labor or abruptio placentae.
Question 2 of 5
Why must the nurse be careful not to cut through or disrupt any tears, holes, bloodstains, or dirt present on the clothing of a client who has experienced trauma?
Correct Answer: C
Rationale: Trauma victims' clothing may contain forensic evidence critical for legal investigations, requiring preservation to maintain the chain of evidence custody. Physiological Adaptation
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.
Extract:
A patient has an anaphylactic reaction within the 1st half hour after an IV infusion containing Ampicillin is started.
Question 4 of 5
The nurse understands that the symptoms occurring during an anaphylactic reaction are the result of:
Correct Answer: C
Rationale: Anaphylaxis causes bronchoconstriction and vasodilation, leading to respiratory distress and hypotension.
Extract:
Question 5 of 5
A toddler is diagnosed with a dislocated right shoulder and a simple fracture of the right humerus. Which behavior most strongly suggests that the child's injuries stem from abuse?
Correct Answer: D
Rationale: Not crying when moved most strongly suggests child abuse. A victim of child abuse typically doesn't complain of pain, even with obvious injuries, for fear of further displeasing the abuser. Trying to sit up on the stretcher is a typical client response. Trying to move away from the nurse indicates fear of strangers, which is normal in a toddler. Difficulty answering the nurse's questions is expected in a toddler because of poorly developed cognitive skills.