NCLEX-PN
NCLEX PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a 72-year-old client 1 day postoperative colectomy. The nurse finds increased work of breathing, diminished breath sounds at the bases with fine inspiratory crackles, respirations 12/min and shallow, and pulse oximetry 96% on 2 L oxygen. There is no jugular venous distension or peripheral edema. Pain is regulated with client-controlled morphine. Which prescription does the nurse anticipate?
Correct Answer: B
Rationale: Incentive spirometry promotes lung expansion and prevents atelectasis, which is likely causing the observed respiratory symptoms.
Question 2 of 5
An adult woman has been diagnosed with varicose veins. Which aspect of her history is most likely related to her diagnosis?
Correct Answer: A
Rationale: Multiple pregnancies increase intra-abdominal pressure and venous stasis, contributing to varicose veins. Running, normal weight, and sedentary work are less directly related.
Question 3 of 5
The nurse is monitoring a 12-month-old diagnosed with intussusception. Which findings should the nurse expect? Select all that apply.
Correct Answer: B,D,E
Rationale: Intussusception is characterized by a sausage-shaped mass, paroxysmal pain with knee-drawing, and 'currant jelly' stools.
Question 4 of 5
Following a stroke, an elderly client develops ptosis. When assessing the client, the nurse will note:
Correct Answer: A
Rationale: Ptosis or drooping of the eyelid can occur as the result of a stroke or Bell's palsy. Answer B refers to entropion, and answer C refers to ectropion, so they are incorrect. Answer D refers to chalazion, so it's incorrect. Answers B, C, and D are incorrect because they do not relate to ptosis.
Extract:
Laboratory results
Cholesterol
<200 mg/dL
(5.2 mmol/L)
220 mg/dL
(5.7 mmol/L)
Question 5 of 5
The nurse is collecting data from a client during a routine physical examination. Which of the following findings would be most important to report to the health care provider?
Correct Answer: B
Rationale: Brownish skin thickening on the neck may indicate acanthosis nigricans, associated with insulin resistance or diabetes, requiring prompt reporting.