NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
An adult is scheduled for a paracentesis. What should the nurse plan to do immediately before the procedure is started?
Correct Answer: B
Rationale: Emptying the bladder before paracentesis prevents accidental puncture of the bladder during needle insertion into the abdominal cavity. Water intake, bowel emptying, or sedation are not immediate pre-procedure priorities.
Question 2 of 5
A home health nurse is visiting a client with chronic heart failure. The nurse observes that the client is having trouble answering questions due to breathlessness and cough. Which action should the nurse take first?
Correct Answer: A
Rationale: Auscultating breath sounds (
A) assesses the cause of breathlessness (e.g., pulmonary edema) in heart failure, guiding immediate interventions. Edema (
B), vitals (
C), and weight (
D) are secondary.
Question 3 of 5
The nurse is collecting data from a client with primary adrenal insufficiency (Addison disease). Which of the following findings is consistent with the condition?
Correct Answer: A
Rationale: Bronze skin pigmentation (
A) is a hallmark of Addison disease due to increased ACTH stimulating melanocytes. Increased hair (
B) and supraclavicular fat pad (
D) are associated with Cushing syndrome, while striae (
C) are nonspecific but not typical of Addison disease.
Question 4 of 5
An adult client is found to be unresponsive on morning rounds. After checking for responsiveness and calling for help, the next action that should be taken by the nurse is to:
Correct Answer: D
Rationale: According to the ABCs of CPR, the first step in rescuing an unresponsive victim after checking responsiveness and calling for help is to open the victim's airway.
Question 5 of 5
The nurse assists with data collection during a screening event at a gastroenterology clinic. Which of the following client statements include risk factors for esophageal cancer? Select all that apply.
Correct Answer: A,C,D
Rationale: Smoking cigars (
A), heavy alcohol use (
C), and chronic acid reflux (
D) are established risk factors for esophageal cancer. Obesity (
B) is a weaker risk, and salted foods (E) are not directly linked.