NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
On first meeting, a new nurse manager makes eye contact, smiles, initiates conversation about the previous work experience of nurses, and encourages active participation by nurses in the dialogue. Her behavior is an example of:
Correct Answer: D
Rationale: The nurse manager's open, engaging, and confident behavior exemplifies assertiveness, fostering collaboration. The other behaviors involve domination, manipulation, or timidity. Coordinated Care
Question 2 of 5
The nurse is teaching a client with a new ileostomy about stoma care. Which of the following statements by the client indicates understanding?
Correct Answer: A
Rationale: Cleaning the peristomal skin with mild soap and water prevents irritation and maintains skin integrity. Daily pouch changes (
B) are unnecessary (typically every 3–7 days), adhesive removers (
C) are for pouch removal, and bleeding (
D) is abnormal and requires evaluation.
Extract:
Thirty-minutes after the blood transfusion was started, the patient complains of urticaria in the chest, abdomen and both thighs.
Question 3 of 5
The PN will implement which nursing action as a priority?
Correct Answer: A
Rationale: Urticaria indicates a possible transfusion reaction, and the priority is to stop the infusion to prevent further complications.
Extract:
Question 4 of 5
A client has been diagnosed with Disseminated Intravascular Coagulation (DIC) and transferred to the medical intensive care unit (ICU) subsequent to an acute bleeding episode. In the ICU, continuous Heparin drip therapy is initiated. Which of the following assessment findings indicates a positive response to Heparin therapy?
Correct Answer: B
Rationale: Heparin in DIC halts excessive clotting, preserving fibrinogen by preventing its conversion to fibrin. Increased fibrinogen indicates effective therapy. Other options are secondary or less specific indicators. Physiological Adaptation
Question 5 of 5
A 35-year-old woman with three children is seen in the emergency room for a broken arm and facial lacerations. This is the third emergency room visit in the last three months for injuries. Each time, she tells the staff that she fell. This time, she confides to the LPN/LVN that 'my husband accidentally pushed me.' What should the LPN/LVN do with this information?
Correct Answer: B
Rationale: Suspected domestic violence requires reporting to the charge nurse for referral to social services or abuse resources, ensuring proper support. Questioning, legal referrals, or rights discussions are less appropriate initially.