NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Michael has congenital Hirschprung disease. Chronic constipation has been a major problem with the patient.
Question 1 of 5
Important finding would include
Correct Answer: C
Rationale: Ribbon-like stools are characteristic of Hirschprung disease due to narrowed colon segments.
Extract:
Question 2 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 3 of 5
A client with a history of bipolar disorder is admitted to the psychiatric unit during a manic episode. Which of the following interventions would be MOST appropriate for the nurse to include in the client's plan of care?
Correct Answer: B
Rationale: During a manic episode, a structured environment with limited stimulation reduces triggers for escalation and promotes safety. Group therapy (
A) may overwhelm, relaxation techniques (
C) are better for calmer states, and unrestricted decision-making (
D) can exacerbate impulsivity.
Question 4 of 5
A client was admitted with a diagnosis of pneumonia. When auscultating the client's breath sounds, the nurse hears inspiratory crackles in the right base. Temperature is 102.3 degrees Fahrenheit orally. What other finding would the nurse expect?
Correct Answer: C
Rationale: Mental confusion. Crackles suggest pneumonia, which is likely to be accompanied by mental confusion related to hypoxia.
Question 5 of 5
A client with abdominal surgery is admitted to the recovery room with an NG tube to low suction. Which of the following lab values indicates a complication of NG suction?
Correct Answer: B
Rationale: NG suction can lead to loss of gastric fluid, causing hypernatremia (elevated sodium, as seen with Na 150 mEq/L) due to dehydration and electrolyte imbalance.