NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
The nurse helps the health care provider perform a thoracentesis at the bedside. In which position does the nurse place the client to facilitate needle insertion and promote comfort?
Correct Answer: D
Rationale: Upright leaning forward (
D) facilitates lung expansion and fluid access while ensuring comfort. Other positions (A, B,
C) are less effective or uncomfortable.
Question 2 of 5
The nurse is caring for a client who has congestive heart failure. Which finding indicates that her condition is getting worse?
Correct Answer: B
Rationale: A decrease in blood pressure suggests worsening cardiac output in congestive heart failure, indicating decompensation.
Question 3 of 5
The practical nurse is collaborating with the registered nurse to form a care plan for a client diagnosed with placenta previa at 33 weeks gestation. Which of the following does the nurse anticipate being included in the plan of care? Select all that apply.
Correct Answer: B, C, D
Rationale: Nonstress tests (
B), cesarean preparation (
C), and type and screen (
D) monitor and prepare for bleeding risks in placenta previa. Activity as tolerated (
A) and vaginal exams (E) increase bleeding risk.
Question 4 of 5
A client who received complete thickness burns at 7:30 a.m. was rushed to the emergency room where IV therapy with Lactated Ringer's was begun. He is to receive $8,000 \mathrm{~mL}$ of solution in 24 hours. According to the Parkland formula, how much solution should he receive by 11:30 p.m.?
Correct Answer: C
Rationale: The Parkland formula states half the total fluid (4,000 mL) is given in the first 8 hours (by 3:30 p.m.), and the remaining 4,000 mL over the next 16 hours. By 11:30 p.m. (16 hours post-burn), the client should have received 6,000 mL.
Question 5 of 5
A client reports that someone is in the room and trying to kill him. The nurse's best response is:
Correct Answer: B
Rationale: It is important to acknowledge the client's fear. The other responses deny the client's perceptions.