NCLEX-PN
Practice NCLEX PN Questions Questions
Extract:
Question 1 of 5
An adult male has an IV in the left arm. The client calls the nurse and says that his left arm hurts. The LPN checks the IV site and notes that it is cool and blanched and not running well. What should the LPN do at this time?
Correct Answer: B
Rationale: Cool, blanched skin and poor flow indicate infiltration; removing the IV and starting a new line prevents tissue damage.
Question 2 of 5
The graduate nurse (GN) is reinforcing education on sitting on and standing up from a chair to a client with crutches. Which instruction by the GN would cause the supervising nurse to intervene?
Correct Answer: A
Rationale: Holding a crutch in each hand is incorrect as crutches should be placed together on the unaffected side or against a stable surface to free the hands for support when standing. Other instructions (B, C,
D) are correct for safe crutch use during sitting and standing.
Question 3 of 5
The client tells the nurse she is having trouble falling asleep. What initial nursing action is least appropriate?
Correct Answer: A
Rationale: Requesting sleeping medication is premature and least appropriate without exploring non-pharmacologic interventions like back rubs, addressing concerns, or repositioning, which promote sleep naturally.
Question 4 of 5
The nurse is caring for a client who had a right modified radical mastectomy 4 hours ago. The nurse should place the client in the
Correct Answer: C
Rationale: Semi-Fowler position with the right arm elevated promotes drainage and reduces edema post-mastectomy. High Fowler may strain the incision, and supine without elevation (B,
D) increases edema risk.
Question 5 of 5
The nurse notes all of the following. Which should be attended to first?
Correct Answer: B
Rationale: A water spill near an ambulatory elderly client's bed poses an immediate fall risk, requiring prompt attention to ensure safety. Call bell access, pain, or water requests are less critical.