NCLEX-PN
Free PN NCLEX Practice Questions Questions
Extract:
Gastrostomy tube was placed on the patient with terminal stage of throat cancer. Feeding is started today.
Question 1 of 5
Prior to initiating the first gastrostomy feeding, the nurse should perform which of the following?
Correct Answer: D
Rationale: Flushing the tube ensures patency before feeding, preventing blockages and ensuring safe administration.
Extract:
Question 2 of 5
An 8-year-old client is returned to the recovery room after a bronchoscopy. The nurse should position the client
Correct Answer: A
Rationale: Semi-Fowler’s position (30°–45° elevation) promotes lung expansion and reduces the risk of airway obstruction or aspiration post-bronchoscopy. Prone (
B) limits respiratory assessment, neck extension (
C) risks airway obstruction, and supine (
D) is less optimal for breathing.
Extract:
Mr. Smith is 67-year-old black male brought to the hospital by his wife, who stated that he fell down 20 minutes ago and has been unable to speak or move his right side since then, Mr. Smith has no significant past medical history. On exam, Mr. Smith is conscious, very anxious, his speech is garbed and unintelligible, he has a left facial droop, and he is completely right hemiphlegic.
Question 3 of 5
The most likely etiology for his symptoms is:
Correct Answer: A
Rationale: Symptoms of sudden speech loss, facial droop, and hemiplegia strongly suggest a cerebrovascular accident (stroke).
Extract:
Question 4 of 5
A school-age child with terminal leukemia is admitted to the pediatric unit. The nurse must discuss advance directives with the child's parents. The nurse should include which information?
Correct Answer: C
Rationale: The nurse shouldn't give a positive appraisal of the child's prognosis because doing so gives the parents false hope. The nurse must be honest about the child's prognosis and provide them accurate information about treatment options, which include palliative care, comfort care, and pain management. The physician - not the nurse - should discuss such treatment options as chemotherapy or bone marrow transplantation, if indicated.
Question 5 of 5
Which client is at highest risk for developing a pressure ulcer?
Correct Answer: C
Rationale: 75 year-old with left sided paresthesia who is incontinent of urine and stool. Risk factors for pressure ulcers include: immobility, absence of sensation, decreased LOC, poor nutrition and hydration, skin moisture, incontinence, increased age, decreased immune response. This client has the greatest number of risk factors.