NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
An adolescent client comes to the clinic 3 weeks after the birth of her first baby. She tells the nurse she is concerned because she has not returned to her pre-pregnant weight. Which action should the nurse perform first?
Correct Answer: C
Rationale: Encourage her to talk about her view of herself.
To an adolescent, body image is very important, and addressing this concern first facilitates further assessment.
Extract:
Laboratory Reference Ranges
Sodium
136-145 mEq/L
(136-145 mmol/L)
Question 2 of 5
The medical-surgical nurse cares for a group of clients. Which client situations would prompt the nurse to notify the health care provider during the middle of the night? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Extremity drift (
A), unconsciousness (
B), heparin before surgery (
C), and severe hyponatremia (
D) are urgent and require notification. Refusing pain medication (E) is not critical.
Extract:
Question 3 of 5
The practical nurse is performing a physical examination with the registered nurse on a 2-year-old with cold symptoms and a fever at home of 101.7 F (38.7 C). Which interventions will enhance the child's cooperation during the examination? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Playing with the stethoscope (
A), starting in the parent's lap (
B), friendly interaction (
C), and using a puppet (
D) reduce anxiety and enhance cooperation. Vital signs (E) may distress the child if done first.
Question 4 of 5
The nurse is caring for a client with a terminal illness who is expected to die during the shift. The nurse notes that the client has loud, wet respirations. Which of the following medications would effectively treat this finding?
Correct Answer: B
Rationale: Sublingual atropine (
B) reduces salivary secretions, alleviating 'death rattle.' Lorazepam (
A) is for anxiety, fentanyl (
C) for pain, and ondansetron (
D) for nausea.
Question 5 of 5
When rendering aid to a victim who appears to be choking, the nurse's first action should be to:
Correct Answer: B
Rationale: Asking if the victim can speak assesses airway obstruction severity. Back blows or chest thrusts follow if needed, and establishing an airway is not the first step.