NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client who is experiencing the cardiac rhythm in the ECG strip shown below. The nurse should recognize that the client is experiencing
Correct Answer: C
Rationale: Without the ECG strip, normal sinus rhythm (
C) is assumed for a stable client, characterized by regular P waves, QRS complexes, and a rate of 60-100 bpm. Other options indicate abnormal rhythms.
Question 2 of 5
The nurse is caring for a client who has acute pericarditis. Which of the following findings would be a priority to follow up?
Correct Answer: B
Rationale: Muffled heart tones and jugular venous distension (
B) suggest pericardial effusion or tamponade, a life-threatening complication requiring urgent follow-up. Chest pain (
A) and friction rub (
C) are expected, and mild fever (
D) is less urgent.
Question 3 of 5
The mother is concerned that her 6-year-old child is eating dirt every day. The nurse is most concerned about which of the following?
Correct Answer: B
Rationale: Pica, such as eating dirt, raises concern for lead poisoning, especially in children, as contaminated soil may contain lead, posing neurological risks.
Question 4 of 5
A client has developed diabetes insipidus after removal of a pituitary tumor. Which finding would the nurse expect?
Correct Answer: A
Rationale: Clients with diabetes insipidus have excessive urinary output due to a lack of antidiuretic hormone. Answers B, C, and D are not exhibited with diabetes insipidus, so they are incorrect.
Question 5 of 5
Thirty-six hours after major surgery, a client has a temperature of 100°F. What is the most likely cause of the temperature elevation?
Correct Answer: B
Rationale: Atelectasis, due to reduced lung expansion post-surgery, is a common cause of low-grade fever within 24–48 hours. Dehydration, wound infection (typically later), or bladder infection are less likely without specific symptoms.