NCLEX-PN
NCLEX Practice Test PN Questions
Extract:
Question 1 of 5
The client has been vomiting for several days. Which blood gas values is he likely to have?
Correct Answer: C
Rationale: Prolonged vomiting causes metabolic alkalosis (high pH, low CO2) due to loss of stomach acid, matching pH=7.54, CO2=28, HCO3=22.
Question 2 of 5
Four clients were involved in a major highway motor vehicle accident. Which client requires priority care?
Correct Answer: A
Rationale: A deviated trachea and hypotension suggest tension pneumothorax, a life-threatening condition requiring immediate decompression to restore breathing.
Question 3 of 5
The nurse is caring for a client who experienced a sexual assault and has posttraumatic stress disorder. The client states, 'It is all my fault. I should not have accepted a drink from a stranger I met at a bar.' Which of the following responses would be most appropriate for the nurse to make?
Correct Answer: D
Rationale: This response validates the client's feelings while gently correcting self-blame, reinforcing that the assault was not their fault and promoting a supportive therapeutic environment.
Question 4 of 5
The nurse assesses a child with intussusception. Which assessment findings require priority intervention?
Correct Answer: A
Rationale: Abdominal rigidity with guarding suggests peritonitis or perforation, critical complications of intussusception requiring immediate surgical intervention.
Question 5 of 5
The practical nurse collaborates with the registered nurse to perform an admission assessment on a client with Alzheimer disease. Which of the following techniques are appropriate when speaking with this client? Select all that apply.
Correct Answer: C,D,E
Rationale: Reducing background noise (
C) minimizes distractions.
Touching the shoulder (
D) gains attention non-verbally. Using clear, simple sentences (E) accommodates cognitive impairments in Alzheimer disease.