NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
After paracentesis, the nurse is doing the best action when she
Question 1 of 5
takes patient's BP.
Correct Answer: D
Rationale: Monitoring vital signs post-paracentesis detects complications like hypotension or bleeding.
Extract:
Question 2 of 5
The nurse is caring for a client with a history of diabetes mellitus who is experiencing diabetic ketoacidosis (DKA). Which of the following findings would the nurse expect?
Correct Answer: B
Rationale: DKA causes fruity breath odor due to ketone production from fat metabolism. Rapid, deep respirations (not slow,
A) compensate for acidosis, tachycardia/hypotension (not bradycardia,
C) occur, and hyperglycemia (not hypoglycemia,
D) is typical.
Extract:
When monitoring a patient who is receiving a blood transfusion
Question 3 of 5
The nurse would analyze an elevated body temperature as indicating
Correct Answer: C
Rationale: Fever during transfusion may indicate a reaction, requiring immediate evaluation.
Extract:
The mother brought her toddler for immunization.
Question 4 of 5
Before administering the drug, which important question should be asked by the nurse to the mother?
Correct Answer: A
Rationale: Allergy history is critical to prevent adverse reactions to the vaccine.
Extract:
Question 5 of 5
A client with Kawasaki disease has bilateral congestion of the conjunctivae, dry cracked lips, a strawberry tongue, and edema of the hands and feet followed by desquamation of fingers and toes. Which of the following nursing measures is most appropriate to meet the expected outcome of positive body image?
Correct Answer: C
Rationale: Explaining the disease progression helps the client and family understand that physical changes are temporary, supporting a positive body image. Other options address treatment or monitoring, not body image directly. Health Promotion and Maintenance