NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
The nurse in the emergency department is caring for a client who has facial lacerations, a suspected fracture of the arm, and multiple bruises at various stages of healing. The client's spouse is at the bedside and appears angry. Which of the following actions would be a priority for the nurse take?
Correct Answer: B
Rationale: Multiple bruises at various stages suggest possible abuse, so talking privately with the client (
B) is the priority to assess safety. Social services (
A) may follow, but immediate safety assessment comes first. Treating injuries (C,
D) is secondary.
Question 2 of 5
The day shift nurse provides handoff of care report to the oncoming night shift nurse. Which of the following statements by the nurse are appropriate to include in the report? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Acetaminophen administration (
A), morphine effect (
B), irrigation replacement (
D), and ultrasound schedule (E) are relevant to care. Family behavior (
C) is subjective and inappropriate.
Question 3 of 5
The nurse is caring for a client who is experiencing the cardiac rhythm in the ECG strip shown below. The nurse should recognize that the client is experiencing
Correct Answer: C
Rationale: Without the ECG strip, normal sinus rhythm (
C) is assumed for a stable client, characterized by regular P waves, QRS complexes, and a rate of 60-100 bpm. Other options indicate abnormal rhythms.
Question 4 of 5
An 87-year-old client has been admitted to the hospital with signs and symptoms of a urinary tract infection along with agitation, confusion, and disorientation to time and place. What is the most important nursing action?
Correct Answer: C
Rationale: One-on-one supervision (
C) ensures safety for a confused, agitated client at risk for falls or harm. Fluids (
A), side rails (
B), and dim lights (
D) are secondary or inappropriate.
Question 5 of 5
The mother is concerned that her 6-year-old child is eating dirt every day. The nurse is most concerned about which of the following?
Correct Answer: B
Rationale: Pica, such as eating dirt, raises concern for lead poisoning, especially in children, as contaminated soil may contain lead, posing neurological risks.