NCLEX-PN
NCLEX PN Practice Tests Questions
Extract:
Question 1 of 5
The afternoon following a thyroidectomy, the client experiences all of the following. Which one indicates to the nurse that the client is experiencing a serious complication?
Correct Answer: D
Rationale: Sudden hoarseness post-thyroidectomy may indicate vocal cord paralysis or hematoma compressing the airway, a serious complication requiring immediate attention. Sore throat, surgical pain, or mild fever are expected.
Question 2 of 5
Magnetic resonance imaging has been ordered for a client. Which factor should the nurse report to the physician?
Correct Answer: B
Rationale: A pacemaker is a contraindication for MRI due to magnetic interference, requiring immediate physician notification to ensure safety.
Question 3 of 5
The obstetric client is determined to have oligohydramnios. Which fetal anomaly is associated with oligohydramnios?
Correct Answer: B
Rationale: Oligohydramnios, low amniotic fluid, is strongly associated with renal agenesis, as the fetus's kidneys fail to produce urine, a major component of amniotic fluid. Other anomalies listed are less directly related.
Question 4 of 5
All of the following clients need attention. Which one should the nurse go to first?
Correct Answer: A
Rationale: Severe headache and blurred vision in spinal cord injury suggest autonomic dysreflexia, a life-threatening emergency, prioritizing immediate attention over turning, examination, or ambulation.
Question 5 of 5
The nurse is administering a tap water enema when the client begins to complain of abdominal cramping. The nurse should:
Correct Answer: B
Rationale: Lowering the enema container slows the flow, reducing cramping. Stopping or withdrawing the tubing is premature, and advancing may worsen discomfort.