NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client diagnosed with a deep venous thrombosis 1 day ago. Which action by the client would require an immediate intervention by the nurse?
Correct Answer: D
Rationale: Massaging the leg (
D) risks dislodging the clot, causing embolism, requiring immediate intervention. Ambulation (
A), warm compresses (
B), and elevation (
C) are appropriate.
Question 2 of 5
The nurse caring for a client with an ileal conduit observes that the stoma appears bluish gray. What is the nurse's best action?
Correct Answer: D
Rationale: A bluish-gray stoma (
D) indicates ischemia, requiring immediate reporting. Antibiotics (
A) are premature, monitoring (
B) delays care, and resizing the pouch (
C) is irrelevant.
Question 3 of 5
Which of the following clients is at highest risk for developing Sarcordosis?
Correct Answer: B
Rationale: Sarcoidosis is most common in African-Americans, particularly women of childbearing age, making the pregnant 30-year-old African-American the highest risk.
Question 4 of 5
The nurse is providing home care to an elderly woman who had a cerebrovascular accident several weeks ago. All of the following need to be done. Which should the nurse plan to do first?
Correct Answer: A
Rationale: Auscultating lung fields assesses respiratory status, a priority post-CVA to detect complications like pneumonia or atelectasis. Hygienic care, ambulation, and ROM are secondary.
Question 5 of 5
The pediatric nurse cares for a 16-year-old client who is scheduled for an appendectomy in the morning. Which of the following interventions are appropriate to support the client's psychosocial needs?
Correct Answer: B,D,E
Rationale: Peer visits (
B), active participation (
D), and addressing body image (E) support a teen's psychosocial needs. Strict schedules (
A) reduce autonomy, and parental presence (
C) may not align with the teen's preferences.