NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
First-time parents bring their 5 day-old infant to the pediatrician's office because they are extremely concerned about its breathing pattern. The nurse assesses the baby and finds that the breath sounds are clear with equal chest expansion. The respiratory rate is 38-42 breaths per minute with occasional periods of apnea lasting 10 seconds in length. What is the correct analysis of these findings?
Correct Answer: C
Rationale: This breathing pattern is normal. Newborns typically have a respiratory rate of 30-60 breaths/minute with brief apneic periods.
Question 2 of 5
A client is scheduled for an Intravenous Pyelogram (IVP). In order to prepare the client for this test, the nurse would
Correct Answer: C
Rationale: Administer a laxative to the client the evening before the examination. Bowel prep is important because it will allow greater visualization of the bladder and ureters.
Question 3 of 5
The nurse is assessing the client's vital signs and notes that the client is breathing very noisily. The nurse describes this pattern of breathing as:
Correct Answer: D
Rationale: Stertorous breathing is loud, snoring-like, often due to airway obstruction. Hyperpnea is deep breathing, Cheyne-Stokes is cyclic, and orthopnea is positional dyspnea.
Extract:
This is a 70-year-old male patient admitted due to hiccups, confusion, right arm & right leg weakness, facial droop and slurred speech. He has an Hx of CAD & had the 2nd CABG about 4 years ago.
Question 4 of 5
The nurse is aware that clinical manifestations differentiate right CHF from left CHF. Symptoms of right CVA would include:
Correct Answer: A
Rationale: Right-sided symptoms like jugular vein distension are unrelated to CVA; question likely meant right CHF.
Extract:
Question 5 of 5
A client with newly diagnosed type I diabetes mellitus is being seen by the home health nurse. The physician orders include: 1,200-calorie ADA diet, 15 units of NPH insulin before breakfast, and check blood sugar qid. When the nurse visits the client at 5 PM, the nurse observes the man performing a blood sugar analysis. The result is 50 mg/dL. The nurse would expect the client to be
Correct Answer: A
Rationale: A blood sugar of 50 mg/dL indicates hypoglycemia (normal 70–110 mg/dL), causing symptoms like confusion, cold, clammy skin, and tachycardia (pulse 110). Hyperglycemia (
B) causes hot, dry skin and Kussmaul respirations, normal findings (
C) are unlikely, and fluid overload (
D) is unrelated.