NCLEX-PN
NCLEX PN Practice Questions Questions
Extract:
Question 1 of 5
The licensed vocational nurse cannot assume the primary care for a client:
Correct Answer: A
Rationale: The fourth stage of labor requires advanced nursing skills due to potential complications, unsuitable for an LVN's primary role. Post-appendectomy , venous access , and bipolar disorder are within LVN scope.
Question 2 of 5
Which statement by the client with chronic obstructive lung disease indicates an understanding of the major reason for the use of occasional pursed-lip breathing
Correct Answer: D
Rationale: Clients with chronic obstructive pulmonary disease have difficulty exhaling fully as a result of weak alveolar walls. Alveolar collapse can be avoided with the use of pursed-lip breathing.
Question 3 of 5
The nurse is caring for a woman who is admitted for a hysterectomy. The woman does not speak English. No staff members speak the client's language. Which approach by the nurse would be most appropriate when communicating with the client about her care before and after the surgery?
Correct Answer: D
Rationale: The nurse should request an interpreter from social services to ensure accurate communication. Using a child to interpret is inappropriate due to medical terminology and privacy concerns. Pictures, gestures, or slow speech in English are insufficient for surgical care discussions.
Question 4 of 5
The nurse is monitoring a 12-month-old diagnosed with intussusception. Which findings should the nurse expect? Select all that apply.
Correct Answer: B,D,E
Rationale: Intussusception is characterized by a sausage-shaped mass, paroxysmal pain with knee-drawing, and 'currant jelly' stools.
Extract:
Laboratory results
Hematocrit
Male: 42%-52%)
(0.42-0.52)
Female: 37%-47%
(0.37-0.47) 45%
(0.45)
Hemoglobin
Male: 14.0-18.0 g/dL
(140-180 g/L)
Female: 12.0-16.0 g/dL
(120-160 g/L) 15 g/dL
(150 g/L)
INR
0.8-1.1 1.3
Platelets
150,000-400,000/mm3
(150-400 × 109/L) 295,000/mm3
(295 × 109/L)
Question 5 of 5
A client is scheduled for an elective laparoscopic prostatectomy in the morning. The practical nurse should notify the registered nurse about which of the following assessment data as soon as possible before surgery?
Correct Answer: D
Rationale: A temperature of 100.4 F with cough suggests a possible infection, which could contraindicate surgery due to increased risk of complications.