NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
An adult is receiving total parenteral nutrition (TPN). Which assessment is essential for the nurse to make?
Correct Answer: D
Rationale: Daily weights monitor fluid balance and nutritional status, critical for TPN to prevent overload or malnutrition. TPN is intravenous, not gastric, and bowel movements/sounds are less relevant.
Question 2 of 5
The nurse is talking with a group of young people who are preparing to spend a weekend camping in the woods. Which information is essential to include in the discussion?
Correct Answer: A
Rationale: Long pants and sleeves prevent tick bites, reducing Lyme disease risk, a critical precaution. Sunscreen is needed, salt tablets are outdated, and poison ivy reacts quickly.
Question 3 of 5
The nurse is caring for a client with a history of chronic obstructive pulmonary disease (COPD) who is receiving oxygen therapy. Which of the following flow rates is MOST appropriate?
Correct Answer: A
Rationale: Low-flow oxygen (1–2 L/min via nasal cannula) is appropriate for COPD to maintain oxygenation without suppressing the hypoxic drive. Higher flows (B, C,
D) risk CO2 retention in COPD patients.
Question 4 of 5
The nurse is performing a developmental assessment on an 8 month-old. Which finding should be reported to the provider?
Correct Answer: D
Rationale: Falls forward when sitting. Sitting without support is expected at 8 months, indicating a developmental concern.
Question 5 of 5
The nurse is assessing a client with suspected appendicitis. Which of the following findings would support this diagnosis?
Correct Answer: A
Rationale: Pain at McBurney’s point (right lower quadrant) is a classic sign of appendicitis, indicating peritoneal irritation. Epigastric burning (
B) suggests ulcers, loose stools (
C) indicate gastroenteritis, and pain relief lying flat (
D) is nonspecific.