NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
The home care nurse is instructing a client recently diagnosed with tuberculosis. It is MOST important for the nurse to include which of the following as a part of the teaching plan?
Correct Answer: D
Rationale: Adherence to a 6–9-month medication regimen is critical for curing tuberculosis and preventing resistance. Respiratory precautions (
A) are needed for 2–4 weeks, masks (
B) are not always required, and family support (
C) is secondary to treatment adherence.
Question 2 of 5
A client with moderate pregnancy-induced hypertension (PIH) is a poor candidate for regional anesthesia during labor and delivery. If she were to receive this form of anesthesia, she might experience:
Correct Answer: A
Rationale: In a client with PIH, uteroplacental perfusion may be inadequate and gas exchange may be poor. Regional anesthesia increases the risk of hypotension resulting from sympathetic blockade, possibly causing fetal and maternal hypoxia. Hypertension, seizures, and renal toxicity aren't associated with regional anesthesia.
Question 3 of 5
A child with tetralogy of Fallot visits the clinic several weeks before planned surgery. The nurse should give priority attention to
Correct Answer: A
Rationale: Assessment of oxygenation. Tetralogy of Fallot involves defects that reduce pulmonary blood flow, leading to cyanosis and polycythemia, which can cause neurologic complications if oxygenation is inadequate.
Extract:
Jaundiced patients are susceptible to postoperative hemorrhage because their blood does not clot normally due to the fact that:
Question 4 of 5
Jaundiced patients are susceptible to postoperative hemorrhage because their blood does not clot normally due to the fact that:
Correct Answer: D
Rationale: Lack of bile reduces vitamin K absorption, impairing prothrombin synthesis and clotting.
Extract:
Question 5 of 5
A child at school trips on a shoe lace and falls. Her ankle swells immediately, and the child is in a great deal of pain. What is the best initial action for the nurse to take?
Correct Answer: C
Rationale: Elevation and ice reduce swelling and pain in acute ankle injuries, following RICE (rest, ice, compression, elevation) principles.