NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client who had a cholecystectomy 24 hours ago. The client reports nausea and has not had a bowel movement since surgery. The nurse should
Correct Answer: A
Rationale: Nausea post-cholecystectomy may be due to anesthesia or pain medication, and an ordered antiemetic addresses this symptom promptly. Ambulation (
B) and high-fiber diet (
C) promote bowel movement but don’t address nausea, and notification (
D) is unnecessary unless symptoms persist or worsen.
Question 2 of 5
An adult is on long-term aspirin therapy and complains of tinnitus. Which interpretation by the nurse is accurate?
Correct Answer: D
Rationale: Tinnitus is a sign of aspirin toxicity (salicylism), indicating a minor overdose. It's not an expected effect, and GI bleed would present with other symptoms like melena.
Question 3 of 5
A 23-year-old man is admitted with a subdural hematoma and cerebral edema after a motorcycle accident. Which of the following symptoms should the nurse expect to see INITIALLY?
Correct Answer: D
Rationale: Subdural hematoma and cerebral edema initially cause a decreased level of consciousness (e.g., confusion, stupor) due to increased intracranial pressure (ICP). Unequal pupils (
A), decerebrate posturing (
B), and seizures (
C) are later signs of severe ICP or brainstem damage.
Question 4 of 5
Which of the following nursing actions is most effective when evaluating a kinetic family drawing?
Correct Answer: D
Rationale: Noting omitted family members provides insight into the child's family dynamics and emotional state. The other options are either initial instructions or counterproductive to evaluation. Health Promotion and Maintenance
Question 5 of 5
The nurse notes that a client has received a medication by mistake. What should the nurse do?
Correct Answer: D
Rationale: Reporting to the supervisor and physician with documentation of prescribed treatment ensures proper management of a medication error without referencing the incident report in notes.