NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
An adult is admitted to the long-term care facility. She had a cerebrovascular accident and no longer needs acute care. The client has left side hemiplegia. Because of the type of deficit the client has, the nurse knows that this woman is at increased risk for which of the following?
Correct Answer: C
Rationale: Left hemiplegia from a right brain CVA increases risk for visual-spatial deficits, as the right hemisphere processes spatial awareness, unlike speech (left hemisphere), behavior, or hearing.
Question 2 of 5
The nurse is talking with a client who is scheduled for cardiac catheterization. Which of the following findings would be essential to follow up? Select all that apply.
Correct Answer: B,D,E
Rationale: Allergy to contrast (
B), recent metformin use (
D), and elevated creatinine (E) increase risks during cardiac catheterization (anaphylaxis, lactic acidosis, and renal injury). CRP (
A) and PR interval (
C) are less urgent.
Question 3 of 5
The nurse is assessing a 7-year-old client who was recently admitted with nausea, vomiting, severe right lower quadrant pain, and an elevated WBC count. Which of the following statements by the client would be a priority to follow up?
Correct Answer: C
Rationale: Resolution of pain (
C) in suspected appendicitis may indicate perforation, a surgical emergency, requiring urgent follow-up. Fatigue (
A), hunger (
B), and dislike of hospitals (
D) are less critical.
Question 4 of 5
A client with cancer has been placed on TPN. The nurse notes air entering the client via the central line. Which initial action is most appropriate?
Correct Answer: C
Rationale: The client is at risk for an air embolus. Placing the client in this position displaces air away from the right ventricle. Answers B and D would not help, so they are incorrect, and answer A would not be done first, so it's incorrect.
Question 5 of 5
A client with right-sided weakness becomes dizzy, loses balance, and begins to fall while the nurse is assisting with ambulation. Which nursing actions would best prevent injury to the client and nurse while guiding the client to a horizontal position on the floor?
Correct Answer: C
Rationale: This technique (
C) ensures the nurse maintains balance with feet apart and uses their leg to guide the client safely to the floor, minimizing injury risk to both. Option A risks the nurse losing balance, B places the nurse in an unsafe position, and D involves improper body mechanics.