NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
A woman is admitted to the labor and delivery unit in a sickle cell crisis. Which of the following nursing actions is the HIGHEST priority?
Correct Answer: C
Rationale: Adequate hydration is the highest priority in sickle cell crisis to reduce blood viscosity, promote circulation, and prevent further sickling of red blood cells, which can exacerbate vaso-occlusive complications. Oxygen (
A) is secondary unless hypoxia is present, positioning (
B) is less critical, and antibiotics (
D) are not indicated without infection.
Question 2 of 5
Which is an expected finding in the normal newborn?
Correct Answer: B
Rationale: Acrocyanosis (bluish extremities) is normal in newborns due to immature circulation. Undescended testicles, absent sucking pads, and retractions are abnormal.
Extract:
If your patient is in pain most of the day, administer analgesic doses
Question 3 of 5
If your patient is in pain most of the day, administer analgesic doses
Correct Answer: B
Rationale: Regularly scheduled analgesics maintain consistent pain control.
Extract:
Congenital hip dysplasia is suspected when the assessment data indicates which of the following in the newborn?
Question 4 of 5
Presence of Ortalani's click
Correct Answer: A
Rationale: The presence of Ortalani's click when legs are abducted and asymmetry of gluteal folds are signs of congenital hip dysplasia.
Extract:
Question 5 of 5
An adult is receiving total parenteral nutrition (TPN). Which assessment is essential for the nurse to make?
Correct Answer: D
Rationale: Daily weights monitor fluid balance and nutritional status, critical for TPN to prevent overload or malnutrition. TPN is intravenous, not gastric, and bowel movements/sounds are less relevant.