NCLEX-PN
Free PN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
The nurse is assessing a client with a history of asthma who presents with decreased breath sounds and prolonged expiration. The nurse should prioritize which of the following actions?
Correct Answer: A
Rationale: Decreased breath sounds and prolonged expiration indicate an asthma exacerbation with bronchoconstriction, requiring a bronchodilator to open airways. Coughing (
B) is ineffective during an attack, X-rays (
C) are diagnostic, and supine positioning (
D) worsens breathing.
Extract:
A client who had previously signed the consent for liver biopsy has changed his mind and no longer wants the procedure.
Question 2 of 5
The best initial response by the nurse would be:
Correct Answer: B
Rationale: Exploring the reason for refusal respects the patient's autonomy and facilitates informed decision-making.
Extract:
Thrombus formation is a danger for all post operative patients. The nurse should act independently to prevent this complication by:
Question 3 of 5
The nurse should act independently to prevent this complication by:
Correct Answer: C
Rationale: In-bed exercises promote venous return, reducing the risk of thrombus formation.
Extract:
Question 4 of 5
The nurse is providing discharge teaching for a client with a history of alcoholism. Which of the following statements, if made by the client, indicates that the client understands the teaching?
Correct Answer: A
Rationale: Complete abstinence is required for alcoholism recovery, including avoiding alcohol-containing products like cough medicines, which could trigger relapse. Diluted drinks (
B) or nonalcoholic beer (
C) risk relapse due to taste cues, and stopping disulfiram prematurely (
D) increases relapse risk.
Question 5 of 5
The nurse is assessing a client with suspected rheumatoid arthritis. Which of the following findings would support this diagnosis?
Correct Answer: A
Rationale: Morning stiffness lasting over 30 minutes is a hallmark of rheumatoid arthritis due to synovial inflammation. Heberden’s nodes (
B) indicate osteoarthritis, single-joint pain (
C) suggests injury, and fever/weight loss (
D) are nonspecific without joint involvement.