NCLEX-PN
Free PN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
During the assessment of a laboring client, the nurse notes that the FHT are loudest in the upper-left quadrant. The infant is most likely in which position?
Correct Answer: B
Rationale: Fetal heart tones loudest in the upper-left quadrant suggest a left occipital anterior position, where the fetus's back is aligned with the mother's left side. Other positions` positions are less likely.
Question 2 of 5
Which of the following injuries, if demonstrated by a client entering the Emergency Department, is the highest priority?
Correct Answer: C
Rationale: A stab wound to the chest is the highest priority due to potential for pneumothorax or mediastinal shift, which can be life-threatening. The ABC (airway, breathing, circulation) principle prioritizes this injury. Physiological Adaptation
Question 3 of 5
When a client needs oxygen therapy, what is the highest flow rate that oxygen can be delivered via nasal cannula?
Correct Answer: C
Rationale: The maximum flow rate for a nasal cannula is 6 liters/minute to avoid drying nasal passages and discomfort. Higher rates require a mask. Reduction of Risk Potential
Question 4 of 5
Steam inhalation is prescribed for a client. Which of the following safety precautions should the nurse include in the client's instructions?
Correct Answer: C
Rationale: Turning off the humidifier when not in use prevents electrical hazards and bacterial growth. Distilled water is ideal but not critical, overfilling is unnecessary, and cleaning frequency depends on use.
Question 5 of 5
The client's blood gas values are: pH=7.35; CO2=60; HCO3=34; and pO2=60. The nurse correctly interprets these to indicate that the client is in which state?
Correct Answer: A
Rationale: Normal pH with elevated CO2 and HCO3 indicates compensated respiratory acidosis, where kidneys retain bicarbonate to balance chronic CO2 retention.