NCLEX-PN
NCLEX PN Practice Questions Questions
Extract:
Question 1 of 5
A woman who is 32 weeks gestation comes to her physician's office. Which finding is of most concern to the office nurse?
Correct Answer: C
Rationale: Periorbital swelling at 32 weeks suggests preeclampsia, a serious condition requiring immediate evaluation. Trace glucose, 4-lb weight gain, or ankle edema are less concerning.
Question 2 of 5
The nurse is caring for the assigned clients on a pediatric inpatient unit. Which client is the priority?
Correct Answer: A
Rationale: Sudden unilateral arm weakness in a sickle cell crisis may indicate a stroke, a life-threatening emergency requiring immediate attention.
Question 3 of 5
A hearing-impaired client is becoming withdrawn and depressed. He reports that even with a hearing aid, he is having increased difficulty hearing. Which suggestion is least likely to be helpful?
Correct Answer: A
Rationale: A hearing guide dog is less helpful for communication compared to social engagement, TDD, or closed-caption TV, which directly address hearing loss.
Question 4 of 5
The nurse is caring for a 2 month-old infant with a congenital heart defect. Which of the following is a priority nursing action?
Correct Answer: A
Rationale: Infants with congenital heart defects are at increased risk for developing congestive heart failure. Infants with congestive heart failure have an increased metabolic rate and require additional calories to grow. At the same time, however, rest and conservation of energy for eating is important. Feedings should be smaller and every 3 hours rather than the usual 4 hour schedule.
Question 5 of 5
An adult is admitted with advanced cancer of the GI tract. What question must be included in the admission assessment?
Correct Answer: B
Rationale: Advanced cancer requires discussion of end-of-life preferences. Asking about advance directives ensures the client's wishes are documented, taking priority over dietary preferences, specific CPR desires, or illness understanding.