NCLEX-PN
Free PN NCLEX Practice Questions Questions
Extract:
A client who had previously signed the consent for liver biopsy has changed his mind and no longer wants the procedure.
Question 1 of 5
The best initial response by the nurse would be:
Correct Answer: B
Rationale: Exploring the reason for refusal respects the patient's autonomy and facilitates informed decision-making.
Extract:
Question 2 of 5
A 23-year-old woman at 32-weeks gestation is seen in the outpatient clinic. Which of the following findings, if assessed by the nurse, would indicate a possible complication?
Correct Answer: A
Rationale: Positive urine glucose and acetone suggest gestational diabetes mellitus (GDM), which can lead to placental insufficiency and fetal complications, requiring immediate evaluation. Pedal edema (
B), increased vaginal discharge (
C), and diaphragmatic pressure (
D) are common in late pregnancy and not typically concerning unless accompanied by other symptoms.
Question 3 of 5
The nurse is caring for a client with a fractured femur who is in skeletal traction. Which of the following actions is MOST important for the nurse to perform?
Correct Answer: B
Rationale: Ensuring weights hang freely maintains proper traction alignment, preventing complications like malunion. Checking pin sites (
A) is important but secondary, ROM exercises (
C) are contraindicated in traction, and repositioning (
D) is limited to maintain traction.
Question 4 of 5
The nurse is caring for a client with a history of chronic kidney disease who is receiving hemodialysis. Which of the following findings would require immediate intervention?
Correct Answer: C
Rationale: Bright red blood in the dialysis tubing indicates a potential access site bleed or tubing disconnection, requiring immediate intervention to prevent blood loss. Mild hypertension (
A) and weight gain (
B) are common, and a normal potassium level (
D) is unremarkable.
Extract:
A patient with Alzheimer's disease is admitted with suspected dehydration after his daughter reports that he's refused to drink anything for the past 3 days.
Question 5 of 5
Which lab result is most expected with dehydration?
Correct Answer: B
Rationale: Hypernatremia (elevated sodium) is expected in dehydration due to water loss.