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NCLEX PN Practice Test Questions

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Question 1 of 5

All of the following individuals live at home with their families. Which of the following persons is least at risk for abuse?

Correct Answer: B

Rationale: The ambulatory man with minimal dependency is least likely to be abused, as he retains some independence. Incontinence, high dependency, or disruptive behavior increase vulnerability.

Question 2 of 5

A client is brought to the emergency room following a motor vehicle accident. When assessing the client one-half hour after admission, the nurse notes several physical changes. Which finding would require the nurse's immediate attention?

Correct Answer: C

Rationale: tracheal deviation. The deviated trachea is a sign that a mediastinal shift has occurred. This is a medical emergency.

Question 3 of 5

During an initial prenatal visit, the practical nurse is reviewing the history of a client at 10 weeks gestation. Which finding is a priority to report to the registered nurse?

Correct Answer: A

Rationale: Pet cats (
A) pose a toxoplasmosis risk, which can cause fetal harm, requiring immediate education and possible testing. Weight gain (
B) is normal, milky discharge (
C) is typical in pregnancy, and swimming (
D) is safe.

Question 4 of 5

A client returns from the operating room after a right orchiectomy. For the immediate post-operative period the nursing priority would be to

Correct Answer: B

Rationale: Due to the location of the incision, pain management is the priority. Bladder spasms are more related to prostate surgery.

Question 5 of 5

A 1-year-old boy is hospitalized for a fractured femur. There is a PRN order for pain medication. What is the best way to assess the child for pain?

Correct Answer: B

Rationale: A 1-year-old cannot verbalize pain; observing behavior (e.g., crying, guarding) is the most reliable pain assessment method.

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The nurse should recognize that physical dependence is accompanied by what findings when alcohol consumption is first reduced or ended?
The doctor has ordered two medications to be given intramuscularly. The nurse should:
Prior to discharge of a child with a ventriculoperitoneal (VP) shunt, the nurse reinforces teaching to the caregiver about when to contact the health care provider. The caregiver shows understanding of the instructions by contacting the health care provider about which symptom?
A young adult is admitted with a possible head injury. The car in which he was riding hit a utility pole, and the client's head hit the windshield. Baseline vital signs are BP=112/74, P=80, and R=12. The nurse checks the client an hour after admission. Which finding(s) are significant and should be reported to the charge nurse or physician immediately? Select all that apply.

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