NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
After sustaining a closed head injury and numerous lacerations and abrasions to the face and neck, a five-year-old child is admitted to the emergency room. The client is unconscious and has minimal response to noxious stimuli. Which of the following assessments, if observed by the nurse three hours after admission, should be reported to the physician?
Correct Answer: B
Rationale: Clear fluid draining from the ear suggests cerebrospinal fluid (CSF) leakage, indicating a rupture of the meninges, which poses a risk of meningitis or other complications in a head injury. This must be reported immediately. Eyelid edema (
A) and minor bleeding (
C) are less urgent, and withdrawal to pain (
D) is consistent with the initial assessment.
Extract:
On the day of admission of a 55-year-old male patient came in with a diagnosis of acute MI
Question 2 of 5
The nurse has satisfactorily assisted the patient in prioritizing his concern when she discusses which of the following with the patient?
Correct Answer: C
Rationale: Medication and diet are critical to managing acute MI, preventing further cardiac events, and promoting recovery.
Extract:
Question 3 of 5
A patient with chronic obstructive pulmonary disease (COPD) is receiving oxygen therapy. Which of the following oxygen delivery devices is most appropriate for this patient?
Correct Answer: C
Rationale: The Venturi mask delivers precise oxygen concentrations, critical for COPD patients to avoid CO2 retention. Nasal cannulas are less precise, and non-rebreather or simple masks deliver high oxygen inappropriately.
Extract:
The nurse would expect an elderly client with a hearing loss caused by aging to have:
Question 4 of 5
The nurse would expect an elderly client with a hearing loss caused by aging to have:
Correct Answer: D
Rationale: Presbycusis, age-related hearing loss, results from inner ear damage.
Extract:
A nurse is administering a shot of Vitamin K to a 3-month-old infant.
Question 5 of 5
Which of the following target areas is the most appropriate?
Correct Answer: C
Rationale: The vastus lateralis is the most appropriate location for intramuscular injections in infants due to its large muscle mass and lack of major nerves.