NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
John H is a 66-year-old man with a history of heavy smoking presented himself to the ER due to difficulty breathing of 2 years duration. Mr. H was also diagnosed with effusion of the right lung. He is now scheduled for chest tube insertion.
Question 1 of 5
Negative pressure in the pleural space is indicated by
Correct Answer: B
Rationale: Negative pressure in the water-seal chamber maintains lung expansion.
Extract:
Question 2 of 5
A nurse is caring for a patient with obsessive-compulsive disorder (OCD). Which of the following interventions is most appropriate?
Correct Answer: C
Rationale: Setting time limits on rituals balances reducing OCD behaviors with minimizing anxiety, supporting therapy goals. Preventing or encouraging rituals exacerbates symptoms, and ignoring dismisses treatment needs.
Question 3 of 5
When using restraints for an agitated/aggressive patient, which of the following statements should NOT influence the nurse's actions during this intervention?
Correct Answer: C
Rationale: The need for restraints is based on the patient’s behavior and safety risk, not their voluntary/involuntary status. Institutional policies (
A), competence (B, requiring guardian consent if incompetent), and the care plan (D, ensuring least restrictive measures) all guide restraint use.
Extract:
Thrombosis in DIC is most likely to affect:
Question 4 of 5
Thrombosis in DIC is most likely to affect:
Correct Answer: D
Rationale: DIC causes microthrombi in small vessels like cutaneous capillaries.
Extract:
Question 5 of 5
The nurse is preparing to administer a unit of packed red blood cells to a client. Which of the following actions should the nurse perform FIRST?
Correct Answer: A
Rationale: Verifying the client’s identity with another nurse ensures the correct patient receives the transfusion, preventing life-threatening errors. Starting an IV (
B) requires a larger catheter (18–20 gauge), priming (
C) follows verification, and compatibility (
D) is part of verification.