NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
The nurse is caring for a client who had a laparoscopic cholecystectomy 3 days ago. The client's WBC count has increased over the past 2 days. Which assessment finding is most concerning?
Correct Answer: D
Rationale: A stiff abdomen with rebound tenderness suggests peritonitis, a life-threatening complication post-cholecystectomy, requiring immediate intervention. Shoulder pain is common due to referred pain, drainage and incision redness suggest localized infection, and a cough may indicate a respiratory issue, but peritonitis is most urgent.
Question 2 of 5
The nurse is caring for a client who had a transsphenoidal hypophysectomy and developed diabetes insipidus. Which of the following findings would the nurse expect to observe? Select all that apply.
Correct Answer: A,B,C
Rationale: Diabetes insipidus results from antidiuretic hormone deficiency, causing excessive thirst, increased dilute urine output, and increased serum osmolality due to water loss. Serum sodium may increase, not decrease, and urine specific gravity is low due to dilute urine.
Question 3 of 5
The nurse is assessing a 16-year-old mother for potential child abuse. Which factor is most important when assessing the potential for child abuse?
Correct Answer: D
Rationale: A history of being abused as a child is the strongest predictor of potential child abuse, as it influences parenting behaviors.
Question 4 of 5
A young couple asks the nurse what method of contraception they should use. What information is most important for the nurse to have before giving an answer?
Correct Answer: C
Rationale: The couple's preferred contraceptive method ensures adherence and satisfaction, guiding the nurse's recommendations. Age, sexual history, or family planning timeline are secondary.
Question 5 of 5
A client experiences post partum hemorrhage eight hours after the birth of twins. Following administration of IV fluids and 500 ml of whole blood, her hemoglobin and hematocrit are within normal limits. She asks the nurse whether she should continue to breast feed the infants. Which of the following is based on sound rationale?
Correct Answer: A
Rationale: Stimulation of the breast during nursing releases oxytocin, which contracts the uterus, reducing the risk of further bleeding.