NCLEX-PN
NCLEX Practice Test PN Questions
Extract:
Question 1 of 5
Four clients were involved in a major highway motor vehicle accident. Which client requires priority care?
Correct Answer: A
Rationale: A deviated trachea and hypotension suggest tension pneumothorax, a life-threatening condition requiring immediate decompression to restore breathing.
Question 2 of 5
The nurse is teaching a client who has a hip prosthesis following total hip replacement. Which of the following should be included in the instructions for home care?
Correct Answer: D
Rationale: Do not cross your legs. Crossing legs can exceed the 90-degree hip flexion limit, risking dislocation.
Question 3 of 5
The nurse is caring for a client at 12 weeks gestation who has a rubella titer status of nonimmune. Which of the following actions should the nurse anticipate implementing?
Correct Answer: B
Rationale: MMR is contraindicated during pregnancy due to risks to the fetus. Administering it postpartum ensures immunity for future pregnancies without harming the current pregnancy.
Question 4 of 5
The nurse is caring for a client with liver cirrhosis. Which of the following assessment findings would warrant immediate follow up?
Correct Answer: A
Rationale: Black, tarry stool (melena) indicates upper gastrointestinal bleeding, a serious complication in cirrhosis due to portal hypertension or varices, requiring immediate intervention.
Question 5 of 5
The nurse is caring for a group of clients. Which finding requires immediate action by the nurse?
Correct Answer: A
Rationale: A peripheral IV in place for 84 hours increases the risk of infection and phlebitis. Guidelines recommend changing IV sites every 72-96 hours, so this requires immediate action to remove or replace the IV.