NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
An adult has low back pain. Which position is likely to be most comfortable for the client?
Correct Answer: C
Rationale: Side-lying with knees flexed reduces lumbar strain, easing low back pain. Prone, supine, or semi-sitting positions may exacerbate discomfort.
Question 2 of 5
A 28-year-old client is being treated with acute pelvic inflammatory disease. Which of the following positions will afford the most comfort for this client?
Correct Answer: C
Rationale: Semi-Fowler's position reduces pelvic pressure and promotes comfort in clients with pelvic inflammatory disease.
Question 3 of 5
The nurse is performing a neurologic assessment on a 1-day-old neonate. Which of the following findings would indicate possible asphyxia in utero? Select all that apply:
Correct Answer: C,D,F
Rationale: Failure of the toes to curl downward when the baby's soles are stroked and lack of response to a loud sound can be evidence that neurological damage from asphyxia has occurred. The normal responses would be that the toes curl downward with stroking and that the arms and legs extend in response to a loud noise. Weak, ineffective sucking is another sign of neurologic damage; a neonate should root and suck when the side of his cheek is stroked. A neonate should also grasp a person's finger when it's placed in the palm of his hand, do stepping movements when held upright with the soles touching a surface, and turn toward an object when his cheek is touched by it.
Question 4 of 5
The nurse is caring for a client with a serum potassium level of 3.5 mEq/L. The client is placed on a cardiac monitor and receives 40 mEq KCL in 1000 ml of 5% dextrose in water IV. Which of the following EKG patterns indicates to the nurse that the infusions should be discontinued?
Correct Answer: C
Rationale: A tall peaked T wave is a sign of hyperkalemia. The provider should be notified regarding discontinuing the medication.
Question 5 of 5
A client with abdominal surgery is admitted to the recovery room with an NG tube to low suction. Which of the following lab values indicates a complication of NG suction?
Correct Answer: B
Rationale: NG suction can lead to loss of gastric fluid, causing hypernatremia (elevated sodium, as seen with Na 150 mEq/L) due to dehydration and electrolyte imbalance.