NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client in the emergency department who presents with a complaint of fatigue and shortness of breath. Which physical assessment findings if noted by the nurse warrants a need for follow up?
Correct Answer: C
Rationale: A reddish purple mark on the neck (e.g., bruising or petechiae) with fatigue and shortness of breath may indicate a hematologic or cardiovascular issue, requiring follow-up. Reddened sclera, scalp flaking, or rashes are less urgent and unrelated to the primary symptoms.
Question 2 of 5
A nurse is caring for a patient with a tracheostomy. Which of the following actions should the nurse take to prevent complications?
Correct Answer: C
Rationale: Keeping the cuff inflated maintains airway patency and prevents aspiration, but pressure must be monitored to avoid tracheal damage. Routine suctioning, hydrogen peroxide, and daily tie changes are not standard.
Question 3 of 5
A client with moderate pregnancy-induced hypertension (PIH) is a poor candidate for regional anesthesia during labor and delivery. If she were to receive this form of anesthesia, she might experience:
Correct Answer: A
Rationale: In a client with PIH, uteroplacental perfusion may be inadequate and gas exchange may be poor. Regional anesthesia increases the risk of hypotension resulting from sympathetic blockade, possibly causing fetal and maternal hypoxia. Hypertension, seizures, and renal toxicity aren't associated with regional anesthesia.
Question 4 of 5
A woman at 38-weeks gestation comes to the emergency room with complaints of vaginal bleeding. Which of the following statements, if made by the client, would suggest to the nurse placenta previa as the cause of the bleeding?
Correct Answer: A
Rationale: Placenta previa is characterized by painless vaginal bleeding, as the placenta covers the cervix, causing bleeding without contractions.
Choice A reflects this. Nausea (
B) is unrelated, activity-related bleeding (
C) suggests abruptio placentae, and cramps (
D) indicate labor or abruptio placentae.
Question 5 of 5
A nurse is providing home health care to a patient with diabetes. Which of the following interventions is most important?
Correct Answer: B
Rationale: Regular blood glucose monitoring guides diabetes management, preventing hypo- or hyperglycemia. Skipping meals, limiting activity, or avoiding diet discussions disrupts control and health.