NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Ms. Wilson is a 45-year-old female presents to the clinic with unexplained weight loss, anxiety, heat intolerance and palpitations. Exams reveal mild systolic hypertension, exophthalmos, lid lag, non-pitting leg edema, and a diffusely enlarged painless thyroid gland. Lab results showed depressed TSH and borderline T3 and T4. Hyperthyroidism was confirmed.
Question 1 of 5
As a result of low levels of T3 and T4, the nurse should expect Ms. Wilson to exhibit:
Correct Answer: C
Rationale: Decreased production of thyroid hormones lowers metabolism, which leads to intolerance to cold. However, the question seems to misalign with the hyperthyroidism diagnosis; in hyperthyroidism, T3 and T4 are elevated, but the answer choices suggest hypothyroidism. Given the options, cold intolerance is the correct choice for low T3/T4.
Extract:
Question 2 of 5
The parents of a school-age child who has sickle cell anemia are discussing recreational activities for their child. Which comment indicates that the parents understand the child's needs?
Correct Answer: D
Rationale: Frequent hydration prevents dehydration, a trigger for sickle cell crisis, showing parental understanding. High-impact sports like soccer or track risk overexertion or injury.
Question 3 of 5
An adult who had a deep vein thrombosis is prescribed warfarin (Coumadin). Which factor in the client's history will be of most concern to the nurse?
Correct Answer: A
Rationale: Osteoarthritis may involve NSAID use, which increases bleeding risk with warfarin, requiring close monitoring.
Question 4 of 5
Which of the following observations best indicates to the nurse that a paraplegic client can adequately carry out activities of daily living at home after discharge?
Correct Answer: B
Rationale: Transferring into and out of a wheelchair is essential for a paraplegic to perform ADLs independently, as it enables mobility and access to other tasks. Shaving and brushing teeth (
A) and maneuvering the wheelchair (
C) are less critical, and meal preparation (
D) is not directly hindered by paraplegia.
Question 5 of 5
A nurse is assessing a patient who has been receiving morphine for pain management. Which of the following findings indicates a need for immediate intervention?
Correct Answer: C
Rationale: A respiratory rate of 10 breaths per minute indicates respiratory depression, a life-threatening side effect of morphine, requiring immediate intervention (e.g., naloxone). Drowsiness, constipation, and nausea are expected but less urgent.