NCLEX-PN
Free PN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
During a home visit, the nurse observes a man who is recovering from a left total hip replacement. Which observation indicates that the client understands his care?
Correct Answer: D
Rationale: Holding the cane in the right hand (opposite the affected left hip) provides support and balance, indicating proper care understanding. Soft chairs, bending, or crossing legs risk hip dislocation.
Question 2 of 5
The nurse is caring for a client with a spinal cord injury at the T4 level. Which of the following findings would be MOST concerning?
Correct Answer: A
Rationale: A T4 spinal cord injury can cause autonomic dysreflexia or neurogenic shock, leading to severe hypotension (80/50) and bradycardia (pulse 50), which are life-threatening and require immediate intervention. Low-grade fever (
B), spasticity (
C), and numbness (
D) are expected or less urgent.
Question 3 of 5
Dual diagnosis indicates that there is a substance abuse problem as well as a
Correct Answer: B
Rationale: Dual diagnosis is the concurrent presence of a major psychiatric disorder and chemical dependence.
Extract:
The nurse is assigned to a patient newly diagnosed with active tuberculosis.
Question 4 of 5
Which of these interventions would be a priority for the nurse to implement?
Correct Answer: D
Rationale: A negative pressure room and masks prevent airborne transmission of tuberculosis, a priority for infection control.
Extract:
Question 5 of 5
A client has been admitted in septic shock. Her nursing care plan includes the diagnosis High Risk for Injury (related to clotting disorder). Based on this diagnosis, all the following are appropriate entries in the nursing care plan except:
Correct Answer: D
Rationale: Firm, direct pressure should be applied to venipuncture sites for 3-7 minutes before final dressing because of the clotting abnormality.