NCLEX-PN
NCLEX PN Practice Test Questions
Extract:
Question 1 of 5
An adult is admitted with a head injury following an accident. He has a severe headache and asks the nurse why he cannot have something for pain. The nurse understands that the client should not receive a narcotic analgesic for which reason?
Correct Answer: D
Rationale: Narcotics depress respirations, risking CO2 retention, acidosis, and increased intracranial pressure in head injury clients. Mydriasis, ineffectiveness, or vomiting are less critical concerns.
Question 2 of 5
A client is admitted to the postpartum floor after a vaginal birth. Which finding indicates the need for immediate intervention?
Correct Answer: B
Rationale: Headache with blurred vision (
B) suggests preeclampsia, a life-threatening condition requiring immediate intervention. Lochia (
A), nipple pain (
C), and discharge (
D) are normal or less urgent postpartum findings.
Question 3 of 5
The nurse is reviewing a depressed client's history from an earlier admission. Documentation of anhedonia is noted. The nurse understands that this finding refers to
Correct Answer: C
Rationale: Lack of enjoyment in usual pleasures. Anhedonia, a common finding in depression, is the lack of enjoyment in usual pleasures.
Question 4 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 5 of 5
A mother brings her 1-month-old son to the clinic for a well-baby visit. The child has a moderately severe hypospadias that was seen by a urologist in the newborn nursery. The mother is upset that the doctors would not circumcise her son before he was discharged. What information should the nurse include when responding to the mother?
Correct Answer: A
Rationale: Hypospadias repair often uses foreskin tissue, so circumcision is avoided to preserve it for surgical correction, addressing the mother's concern.