NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is assessing the client's vital signs and notes that the client is breathing very noisily. The nurse describes this pattern of breathing as:
Correct Answer: D
Rationale: Stertorous breathing is loud, snoring-like, often due to airway obstruction. Hyperpnea is deep breathing, Cheyne-Stokes is cyclic, and orthopnea is positional dyspnea.
Question 2 of 5
A 23-year-old man is admitted with a subdural hematoma and cerebral edema after a motorcycle accident. Which of the following symptoms should the nurse expect to see INITIALLY?
Correct Answer: D
Rationale: Subdural hematoma and cerebral edema initially cause a decreased level of consciousness (e.g., confusion, stupor) due to increased intracranial pressure (ICP). Unequal pupils (
A), decerebrate posturing (
B), and seizures (
C) are later signs of severe ICP or brainstem damage.
Question 3 of 5
An adult is on long-term aspirin therapy and complains of tinnitus. Which interpretation by the nurse is accurate?
Correct Answer: D
Rationale: Tinnitus is a sign of aspirin toxicity (salicylism), indicating a minor overdose. It's not an expected effect, and GI bleed would present with other symptoms like melena.
Question 4 of 5
A woman who has emphysema is on continuous oxygen therapy. She appears anxious and short of breath. Her husband increases the oxygen flow to 6 L/min. The nurse knows this action is most likely to:
Correct Answer: D
Rationale: Increasing oxygen flow in emphysema can suppress the hypoxic drive, risking respiratory depression, a serious concern.
Question 5 of 5
A nurse is caring for a newborn who is 2 hours old. Which of the following findings should be reported to the healthcare provider?
Correct Answer: B
Rationale: Jaundice within 24 hours of birth is pathologic, indicating possible hemolytic disease or liver issues, requiring reporting. Heart rate, respiratory rate, and temperature are normal for a newborn.