NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client who has a hip fracture and is placed in Buck traction. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: B,C,D,E
Rationale: Monitoring for skin breakdown (
B), neurovascular checks (
C), neutral positioning (
D), and pain relief (E) are essential for Buck traction. Placing the client on the affected side (
A) is incorrect as it may disrupt traction.
Question 2 of 5
The nurse is assessing the deep tendon reflexes of a client with preeclampsia. Which method is used to elicit the biceps reflex?
Correct Answer: A
Rationale:
To elicit the biceps reflex, the nurse places her thumb on the biceps tendon in the antecubital space and taps it with a reflex hammer, so A is correct. Answer B is incorrect as it describes a different technique. Answer C refers to the patellar reflex, and Answer D is not a standard method for the biceps reflex.
Question 3 of 5
The nurse is planning care for an 11-year-old child with attention deficit hyperactivity disorder who is hospitalized for surgical treatment of a fractured femur. What is the priority nursing action?
Correct Answer: A
Rationale: A structured environment (
A) supports ADHD management by reducing overstimulation and providing predictability, critical for a hospitalized child. Written schedules (
B) and verbal explanations (
C) are secondary, and restricting visitors (
D) is unnecessary.
Question 4 of 5
An 87-year-old client has been admitted to the hospital with signs and symptoms of a urinary tract infection along with agitation, confusion, and disorientation to time and place. What is the most important nursing action?
Correct Answer: C
Rationale: One-on-one supervision (
C) ensures safety for a confused, agitated client at risk for falls or harm. Fluids (
A), side rails (
B), and dim lights (
D) are secondary or inappropriate.
Question 5 of 5
A male client calls for a nurse because of chest pain. Which statement by the client would require the most immediate action by the nurse?
Correct Answer: D
Rationale: Chest pain radiating to the jaw and left arm is a classic symptom of myocardial infarction, requiring immediate action to assess for a life-threatening cardiac event.