NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is caring for a client after a motor vehicle accident. The client has a fractured tibia, and bone is noted protruding through the skin. Which action is of priority?
Correct Answer: B
Rationale: The client has an open fracture. The priority would be to cover the wound and prevent further contamination. Manual traction should not be attempted, so answer A is incorrect. Swelling usually occurs with a fracture, making answer C an incorrect option. Changing the client to the prone position would cause excessive movement and is inappropriate, so Answer D is incorrect.
Question 2 of 5
The registered nurse (RN) is planning care at a team meeting for a 2 month-old child in bilateral leg casts for congenital clubfoot. Which of these outcomes suggested by the practical nurse (PN) should be considered the priority nursing goal following cast application?
Correct Answer: D
Rationale: Tissue perfusion will be maintained. Immediately following cast application, the chief goal is to maintain circulation and tissue perfusion around the cast. Permanent tissue damage can occur within a few hours if perfusion is not maintained.
Question 3 of 5
The rationale for refrigerating urine specimens that cannot be analyzed immediately is:
Correct Answer: B
Rationale: Refrigeration slows urea breakdown into ammonia, which alkalinizes urine and promotes cellular degradation, preserving specimen integrity.
Question 4 of 5
The nurse is caring for clients on a medical/surgical unit and determines that several situations need to be addressed. Which of the following situations should the nurse attend to FIRST?
Correct Answer: D
Rationale: A nosebleed post-radiation therapy is the least stable situation, as it may indicate a serious complication like tissue damage or coagulopathy, requiring immediate assessment. The daughter’s threat (
A) is administrative, the overdue assistant (
B) is a personnel issue, and the physician’s request (
C) can be delegated, all of which are lower priority.
Question 5 of 5
The nurse is assessing a 78-year-old woman. The woman says she has some bladder discomfort and urinary frequency. She also says, 'I mind the cold so, but I don't seem to shiver. I don't have much energy these days.' Her temperature is 98.9°F, pulse is 76, respirations are 20, and blood pressure is 140/88. Which findings are of most concern to the nurse and need to be further evaluated?
Correct Answer: C
Rationale: Bladder discomfort, frequency, and fatigue may indicate a urinary tract infection or other systemic issue, requiring evaluation. Vital signs are normal, and shivering/cold sensitivity is less urgent.