NCLEX-PN
Free PN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
The nurse is assessing a client with a suspected fracture of the radius. Which of the following findings would support this diagnosis?
Correct Answer: A
Rationale: A radius fracture typically causes swelling and deformity at the wrist due to bone disruption. Shoulder pain (
B) suggests a proximal injury, leg numbness (
C) is unrelated, and fever/stiffness (
D) indicate infection or arthritis.
Question 2 of 5
A client has been admitted in septic shock. Her nursing care plan includes the diagnosis High Risk for Injury (related to clotting disorder). Based on this diagnosis, all the following are appropriate entries in the nursing care plan except:
Correct Answer: D
Rationale: Firm, direct pressure should be applied to venipuncture sites for 3-7 minutes before final dressing because of the clotting abnormality.
Question 3 of 5
A client has been on antibiotics for 72 hours for cystitis. Which report from the client requires priority attention by the nurse?
Correct Answer: C
Rationale: Elevated temperature after 72 hours on an antibiotic indicates the antibiotic has not been effective in eradicating the offending organism. The provider should be informed immediately so that an appropriate medication can be prescribed, and complications such as pyelonephritis are prevented.
Question 4 of 5
The nurse is caring for a client with a history of bipolar disorder who is prescribed lithium. Which of the following laboratory values should the nurse monitor?
Correct Answer: A
Rationale: Lithium can cause hyponatremia, and monitoring serum sodium ensures safe levels (therapeutic lithium range: 0.6–1.2 mEq/L). Glucose (
B), calcium (
C), and hemoglobin (
D) are not directly affected by lithium therapy.
Question 5 of 5
As a general guide for emergency management of acute alcohol intoxication, it is important for the nurse initially to obtain data regarding which of the following?
Correct Answer: B
Rationale: Blood alcohol levels are generally obtained to determine the level of intoxication. The amount of alcohol consumed determines how much medication the client needs for detoxification and treatment. Reports of alcohol consumption are notoriously inaccurate.