NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client who underwent a lumbar laminectomy 24 hours ago. Which of the following interventions is MOST important?
Correct Answer: D
Rationale: Urinary retention is a common complication post-laminectomy due to spinal anesthesia or nerve irritation, requiring close monitoring to prevent bladder distension. Ambulation (
A) and analgesics (
C) are important, and flat positioning (
B) is recommended but secondary to bladder assessment.
Question 2 of 5
A client with newly diagnosed type I diabetes mellitus is being seen by the home health nurse. The physician orders include: 1,200-calorie ADA diet, 15 units of NPH insulin before breakfast, and check blood sugar qid. When the nurse visits the client at 5 PM, the nurse observes the man performing a blood sugar analysis. The result is 50 mg/dL. The nurse would expect the client to be
Correct Answer: A
Rationale: A blood sugar of 50 mg/dL indicates hypoglycemia (normal 70–110 mg/dL), causing symptoms like confusion, cold, clammy skin, and tachycardia (pulse 110). Hyperglycemia (
B) causes hot, dry skin and Kussmaul respirations, normal findings (
C) are unlikely, and fluid overload (
D) is unrelated.
Question 3 of 5
Assessment of the client with an arteriovenous fistula for hemodialysis should include:
Correct Answer: B
Rationale: Palpating a thrill confirms the patency of an AV fistula. Visible pulsation is not typical, percussion is irrelevant, and blood pressure is not auscultated in the fistula limb. Physiological Adaptation
Extract:
A nurse is administering a shot of Vitamin K to a 3-month-old infant.
Question 4 of 5
Which of the following target areas is the most appropriate?
Correct Answer: C
Rationale: The vastus lateralis is the most appropriate location for intramuscular injections in infants due to its large muscle mass and lack of major nerves.
Extract:
Question 5 of 5
A client asks the nurse about the rhythm (calendar-basal body temperature) method of family planning. The nurse explains that this method involves:
Correct Answer: D
Rationale: The rhythm method of family planning combines basal body temperature measurement with analysis of cervical mucus changes to determine the fertile period. This method helps identify safe and unsafe periods for sexual intercourse. A natural family planning method, the rhythm method doesn't involve use of chemical barriers, hormones, or mechanical barriers.