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.
Extract:
To best promote continued improvement in a patient's respiratory status after chest drainage is discontinued, the nurse should:
Question 2 of 5
To best promote continued improvement in a patient's respiratory status after chest drainage is discontinued, the nurse should:
Correct Answer: B
Rationale: Coughing and deep breathing promote lung expansion and secretion clearance post-chest drainage.
Extract:
While retrieving her voice messages, the public health nurse received a call from the patient who is receiving short acting insulin for her diabetes. The patient states, 'I know I have a severely low sugar since the regular insulin was given 3 hours ago and it peaks in 2 hours.'
Question 3 of 5
When the nurse returns the call, the first question she will ask the patient would be?
Correct Answer: B
Rationale: Hypoglycemia is likely if the patient has not eaten post-insulin, making this the priority question to assess the cause.
Extract:
Question 4 of 5
An adult woman has obsessive-compulsive disorder. She continually washes her hands and misses meals because she has not completed her washing rituals. What should be in the nursing care plan for this woman?
Correct Answer: B
Rationale: Bringing meals accommodates the client's OCD rituals while ensuring nutrition, a practical approach. Interrupting, planning around rituals, or forcing choices may escalate anxiety or non-compliance.
Question 5 of 5
A 76-year-old client is admitted to a long-term care facility with Alzheimer's-type dementia. The client has been wearing the same dirty clothes for several days. The nurse contacts the family and asks them to bring in clean clothing. Which intervention would best prevent further regression in the client's personal hygiene?
Correct Answer: A
Rationale: Clients with Alzheimer's-type dementia tend to fluctuate in their capabilities. Encouraging self-care to the extent possible helps increase the client's orientation and promotes a trusting relationship with the nurse. Making the client assume responsibility for physical care is unreasonable. Assigning a staff member to take over the client's physical care restricts the client's independence. Accepting the client's desire to go without bathing promotes poor hygiene.