NCLEX-PN
NCLEX PN Practice Test Questions
Extract:
Question 1 of 5
The nurse enters the room of a client who had major abdominal surgery 1 week ago and notes dehiscence and evisceration of the surgical incision. The nurse should immediately place the client in the
Correct Answer: A
Rationale: Low Fowler with knees bent (
A) reduces abdominal tension, preventing further evisceration while awaiting surgical intervention. Prone (
B), supine flat (
C), or side-lying (
D) increase strain or risk organ protrusion.
Question 2 of 5
The nurse is reviewing medical histories with several clients during a community health screening event. Which of the following client statements indicate a risk factor for cervical cancer? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Cervical cancer is strongly linked to HPV infection (E), which is transmitted through sexual activity, including with multiple partners (
A). Smoking (
B) increases risk by impairing immune response to HPV. Chlamydia (
D) is associated with chronic inflammation, increasing susceptibility. Condom use (
C) reduces but does not eliminate HPV risk and is not a direct risk factor.
Question 3 of 5
The client with malignant left pleural effusion undergoes a thoracentesis and 900 mL of excess pleural fluid is removed. Which of these manifestations, if noted on the post-procedure assessment, should the nurse report to the health care provider immediately?
Correct Answer: A
Rationale: Asymmetrical chest expansion and decreased breath sounds (
A) suggest pneumothorax, a serious post-thoracentesis complication. Hypotension (
B), pain (
C), and mild tachypnea (
D) are less urgent or expected.
Question 4 of 5
An adult is admitted with meningitis. During the acute phase of the illness, which measure should the nurse include in the nursing care plan to reduce the chance of seizures?
Correct Answer: D
Rationale: Darkening the room minimizes sensory stimulation, reducing seizure risk in meningitis, where neurological irritability is common.
Question 5 of 5
The nurse enters the room of a client who had major abdominal surgery 1 week ago and notes dehiscence and evisceration of the surgical incision. The nurse should immediately place the client in the
Correct Answer: A
Rationale: Low Fowler with knees bent (
A) reduces abdominal tension, preventing further evisceration while awaiting surgical intervention. Prone (
B), supine flat (
C), or side-lying (
D) increase strain or risk organ protrusion.