NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
All of the following adults are admitted to the surgical unit. Which client should the nurse prepare for immediate surgery?
Correct Answer: C
Rationale: Severe right lower quadrant pain with elevated WBC suggests appendicitis, requiring immediate surgery to prevent rupture. Scapular pain (gallbladder), vaginal bleeding, or hernia are less urgent unless complicated.
Extract:
John H is a 66-year-old man with a history of heavy smoking presented himself to the ER due to difficulty breathing of 2 years duration. He was prescribed some breathing medication by his family physician. However, for the last two months he noted progression of the severity of symptoms and new medications were prescribed. A week prior to admission, his difficulty in breathing worsened. There was non-productive cough, easy fatiguability and basilar rales. He was diagnosed with respiratory problems with acute exacerbation and stemming pneumonia. He was started on antibiotics, IV solumedrol Q6 hourly, oxygen at 2 L/NC; bed rest; diet as tolerated; and ABG. Mr. H was also diagnosed with effusion of the right lung. He is now scheduled for chest tube insertion.
Question 2 of 5
What prevents air from entering the chest space when a patient has a chest tube?
Correct Answer: A
Rationale: The water seal chamber prevents air re-entry, maintaining negative pleural pressure.
Extract:
Question 3 of 5
The nurse is caring for an adult who had abdominal surgery yesterday. When the nurse encourages the client to take some deep breaths and cough, the client tells the nurse, 'It hurts when I cough. I just can't do it.' What is the nurse's best response?
Correct Answer: C
Rationale: Splinting the incision with a pillow reduces pain during coughing, promoting effective lung expansion to prevent pneumonia.
Question 4 of 5
In a child with suspected coarctation of the aorta, the nurse would expect to find
Correct Answer: D
Rationale: Bounding pulses in the arms. Coarctation causes increased blood flow and pressure in the upper extremities.
Question 5 of 5
The major electrolytes in the extracellular fluid are:
Correct Answer: C
Rationale: Sodium and chloride are the major electrolytes in the extracellular fluid, maintaining fluid balance and nerve function. The other options include electrolytes more prevalent in intracellular fluid or less dominant in extracellular fluid. Physiological Adaptation