NCLEX-PN
Free PN NCLEX Practice Questions Questions
Extract:
Question 1 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.
Extract:
Mr. Smith is 67-year-old black male brought to the hospital by his wife, who stated that he fell down 20 minutes ago and has been unable to speak or move his right side since then, Mr. Smith has no significant past medical history. On exam, Mr. Smith is conscious, very anxious, his speech is garbed and unintelligible, he has a left facial droop, and he is completely right hemiphlegic.
Question 2 of 5
The most likely etiology for his symptoms is:
Correct Answer: A
Rationale: Symptoms of sudden speech loss, facial droop, and hemiplegia strongly suggest a cerebrovascular accident (stroke).
Extract:
Question 3 of 5
The nurse is caring for a client who had knee surgery this morning. Postoperative orders include a narcotic every three to four hours as needed for operative site pain and an ice bag. At 7:00 P.M., the client asks for pain medication. He was last medicated at 3:30 P.M. What is the best initial nursing action?
Correct Answer: B
Rationale: Assessing pain location and nature ensures the medication is appropriate for operative site pain, guiding safe administration. Administering without assessment, refilling ice, or repositioning are premature.
Question 4 of 5
Because the client is thought to have Cushing's syndrome, the nurse should assess the client for the presence of which of the following? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Cushing's syndrome causes hyperglycemia, easy bruising, immunosuppression, and fluid retention due to excess cortisol. Hypertension, not low blood pressure, and acne are common, but pitting is not specific.
Question 5 of 5
Following the death of a client, a nursing assistant begins to cry uncontrollably and is unable to provide care for the other assigned clients. The nurse should:
Correct Answer: D
Rationale: Encouraging the nursing assistant to express feelings supports emotional processing and professional growth. Sending her home or to the lounge avoids the issue. Coping lectures are dismissive.