NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client who underwent a total hip replacement 48 hours ago. Which of the following actions is MOST important to prevent complications?
Correct Answer: B
Rationale: Keeping the affected leg in a neutral position (e.g., avoiding adduction or extreme rotation) prevents hip dislocation, a major complication post-hip replacement. Ambulation (
A) is important but secondary, antibiotics (
C) depend on orders, and monitoring infection (
D) is routine.
Question 2 of 5
Upon entering a client's room, the nurse sees and smells smoke and flames. What is the best initial nursing action?
Correct Answer: B
Rationale: Moving the client out of the room prioritizes patient safety, following the RACE (Rescue, Alarm, Contain, Extinguish) fire protocol.
Question 3 of 5
An adult woman has obsessive-compulsive disorder. She continually washes her hands and misses meals because she has not completed her washing rituals. What should be in the nursing care plan for this woman?
Correct Answer: B
Rationale: Bringing meals accommodates the client's OCD rituals while ensuring nutrition, a practical approach. Interrupting, planning around rituals, or forcing choices may escalate anxiety or non-compliance.
Question 4 of 5
A nurse is caring for a patient who is receiving chemotherapy. Which of the following medications should the nurse anticipate administering to prevent nausea and vomiting?
Correct Answer: A
Rationale: Ondansetron, a 5-HT3 antagonist, is the first-line antiemetic for chemotherapy-induced nausea, effectively blocking serotonin receptors. Other medications are less specific or used adjunctively.
Question 5 of 5
Which finding in a neonate suggests hypothermia?
Correct Answer: A
Rationale: Neonates who are hypothermic typically develop bradycardia. Hypoglycemia, not hyperglycemia, and metabolic acidosis, not metabolic alkalosis, are also seen in neonates with hypothermia. Neonates typically don't shiver.