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 is caring for a client with hyperosmolar hyperglycemic state (HHS). The nurse should recognize which characteristic is most consistent with HHS?
Correct Answer: B
Rationale: Altered consciousness (
B) is a hallmark of HHS due to severe hyperglycemia and dehydration. Abdominal pain (
A) and Kussmaul respirations (
D) are more typical of DKA, and HHS is associated with type 2 diabetes (
C).
Question 3 of 5
The nurse is collecting data from a 10-year-old client during a routine physical examination. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: A, C, D
Rationale: Using anatomical terminology (
A) promotes understanding. Explaining equipment and procedures (
C) reduces anxiety. Offering a gown and allowing underwear (
D) respects privacy. Adult examination sequences (
B) may not suit pediatric needs, and parents rating pain (E) may not accurately reflect the child's experience.
Question 4 of 5
The nurse is preparing to administer a sodium polystyrene sulfonate retention enema. Which explanation by the nurse best describes the purpose of this type of enema?
Correct Answer: C
Rationale: Sodium polystyrene sulfonate (
C) removes excess potassium via the intestines, used in hyperkalemia. Other options describe unrelated procedures.
Question 5 of 5
A client is admitted to the emergency room following an acute asthma attack. Which of the following assessments would be expected by the nurse?
Correct Answer: A
Rationale: In asthma, the airways are narrowed, creating difficulty getting air in. A wheezing sound results.