NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client who has bleeding esophageal varices. What should the nurse expect might develop in this client? Select all that apply.
Correct Answer: A,B
Rationale: Bleeding varices cause blood loss, leading to tarry stools (melena) from digested blood and confusion from hepatic encephalopathy due to liver dysfunction. Abdominal pain, hypertension, tremors, or hallucinations are less directly related.
Question 2 of 5
When writing in the client's chart, the nurse makes an error in documentation. The nurse should:
Correct Answer: D
Rationale: Drawing a single line through the error and initialing maintains transparency and legality. Erasing, blackening, or rewriting the sheet is improper.
Question 3 of 5
A client is admitted for removal of a goiter. Which nursing intervention should receive priority during the post-operative period?
Correct Answer: B
Rationale: A goiter is hyperplasia of the thyroid gland. Removal of a goiter can result in laryngeal spasms and airway occlusion. The other answers are lesser in priority.
Question 4 of 5
A client with right-sided weakness becomes dizzy, loses balance, and begins to fall while the nurse is assisting with ambulation. Which nursing actions would best prevent injury to the client and nurse while guiding the client to a horizontal position on the floor?
Correct Answer: C
Rationale: This technique (
C) ensures the nurse maintains balance with feet apart and uses their leg to guide the client safely to the floor, minimizing injury risk to both. Option A risks the nurse losing balance, B places the nurse in an unsafe position, and D involves improper body mechanics.
Question 5 of 5
The nurse is monitoring a client who had an esophagogastroduodenoscopy 2 hours ago. Which finding requires an immediate report to the registered nurse?
Correct Answer: D
Rationale: A temperature spike to 101.2 F (
D) suggests possible perforation or infection, requiring immediate reporting. BP drop (
A) is mild, absent gag reflex (
B) is expected, and sore throat (
C) is normal post-procedure.