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
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.
Question 3 of 5
A client arrived in the USA from a developing country 1 week ago. The client is to be admitted to the medical surgical unit with a diagnosis of AIDS. There is a history of these findings: unintended weight loss, drug abuse, night sweats, productive cough, and a 'feeling of being hot all the time.' The nurse should assign the client to share a room with a client with the diagnosis of
Correct Answer: A
Rationale: Acute tuberculosis with a productive cough of discolored sputum for over three months. The client being admitted has the classic findings of pulmonary tuberculosis. Of the available choices, the client in option A would be the most appropriate roommate. It is acceptable to put clients with similar diagnoses in the same room when no other alternative exists. Clients are considered contagious until the cough is eliminated with medications, which initially is a combination of 4 simultaneous drugs.
Question 4 of 5
An adult has low back pain. Which position is likely to be most comfortable for the client?
Correct Answer: C
Rationale: Side-lying with knees flexed reduces lumbar strain, easing low back pain. Prone, supine, or semi-sitting positions may exacerbate discomfort.
Question 5 of 5
The parents of a school-age child who has sickle cell anemia are discussing recreational activities for their child. Which comment indicates that the parents understand the child's needs?
Correct Answer: D
Rationale: Frequent hydration prevents dehydration, a trigger for sickle cell crisis, showing parental understanding. High-impact sports like soccer or track risk overexertion or injury.