NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
The client with a cataract has decreased vision due to:
Correct Answer: C
Rationale: Cataracts result from crystalline protein deposits on the lens, causing opacity and vision loss. Other options affect different eye structures.
Question 2 of 5
A patient is prescribed nitroglycerin for angina. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Nitroglycerin is placed sublingually for rapid absorption to relieve angina. Swallowing or taking with water delays action, and meal timing is irrelevant.
Question 3 of 5
A client comes to the emergency department complaining of headache, malaise, chills, fever, and a stiff neck. Vital sign assessment reveals a temperature elevation, increased heart and respiratory rates, and normal blood pressure. On physical examination, the nurse notes confusion, a petechial rash, nuchal rigidity, Brudzinski's sign, and Kernig's sign. What does Brudzinski's sign indicate?
Correct Answer: D
Rationale: Brudzinski's sign indicates meningeal irritation, as in meningitis. Other signs of meningeal irritation include nuchal rigidity and Kernig's sign. Brudzinski's sign doesn't indicate increased ICP, cerebral edema, or low CSF pressure.
Question 4 of 5
A nurse is caring for a patient with chronic heart failure. Which of the following interventions should the nurse include in the plan of care? (Select all that apply)
Correct Answer: A,C,D,E
Rationale: Daily weight tracks fluid status, diuretics reduce overload, fluid restriction prevents exacerbation, and activity improves cardiac function. High-sodium diets worsen heart failure.
Question 5 of 5
The parents of a school-age child who has sickle cell anemia are discussing recreational activities for their child. Which comment indicates that the parents understand the child's needs?
Correct Answer: D
Rationale: Frequent hydration prevents dehydration, a trigger for sickle cell crisis, showing parental understanding. High-impact sports like soccer or track risk overexertion or injury.