NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
An adult is scheduled for a total laryngectomy. When preparing the client for surgery, it is essential for the nurse to take which of the following actions?
Correct Answer: C
Rationale: A laryngectomy removes the voice box, requiring alternative communication; assessing literacy ensures post-op communication via writing, critical for care planning.
Question 2 of 5
The nurse reviews the admission history of a 70-year-old client diagnosed with chronic obstructive pulmonary disease (COPD). Which of the following statements by the client does the nurse recognize as contributing to the development of COPD? Select all that apply.
Correct Answer: C, E
Rationale: Smoking (
C) is a primary cause of COPD. Occupational exposure to chemicals as a mechanic (E) is also a risk factor. Alcohol (
A), obesity (
B), and fast food (
D) are not directly linked to COPD.
Question 3 of 5
A danger following a bone marrow transplantation is graft-host disease. The initial sign of graft-versus-host disease is:
Correct Answer: B
Rationale: A rash is often the earliest sign of graft-versus-host disease, reflecting immune attack on the skin. Other signs may follow but are less initial.
Question 4 of 5
The nurse is caring for an ambulatory client who has a new order for continuous cardiac monitoring via a portable unit. It would require follow-up if the nurse
Correct Answer: D
Rationale: Placing electrodes on extremities (
D) is incorrect for cardiac monitoring, which requires chest placement. Verifying gel (
A), cleansing skin (
B), and clipping hair (
C) are appropriate.
Question 5 of 5
A client diagnosed with hypertension has been prescribed a clonidine patch. Which instructions should the nurse include to reinforce prior teaching? Select all that apply.
Correct Answer: A, B, D
Rationale: Applying to upper arm/chest (
A), folding patches (
B), and rotating sites (
D) ensure safe use. Removing for dizziness (
C) requires medical consultation, and shaving (E) can irritate skin.