NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a colostomy. The client reports that the colostomy bag is leaking. The nurse should
Correct Answer: C
Rationale: A leaking colostomy bag may indicate poor fit, skin irritation, or stoma changes, so assessing the stoma and peristomal skin is the first step to determine the cause and plan interventions. Taping (
A) is temporary, emptying/reapplying (
B) may not address the issue, and physician notification (
D) is premature.
Question 2 of 5
A client scheduled for a fluorescein angiography is to have mydriatic eye drops instilled in both eyes 1 hour prior to the test. The nurse knows that the purpose of the medication is:
Correct Answer: B
Rationale: Mydriatic drops dilate pupils, allowing better visualization of the retina during fluorescein angiography.
Extract:
Which of the following nursing interventions is a priority on a newborn baby?
Question 3 of 5
Wrap the baby in a warm blanket.
Correct Answer: C
Rationale: The Apgar score assesses the newborn's immediate condition, guiding further interventions.
Extract:
Question 4 of 5
The nurse is assessing the client's vital signs and notes that the client is breathing very noisily. The nurse describes this pattern of breathing as:
Correct Answer: D
Rationale: Stertorous breathing is loud, snoring-like, often due to airway obstruction. Hyperpnea is deep breathing, Cheyne-Stokes is cyclic, and orthopnea is positional dyspnea.
Question 5 of 5
A client comes to the clinic for assessment of his physical status and guidelines for starting a weight-reduction diet. The client's weight is 216 pounds and his height is 66 inches. The nurse identifies the BMI (body mass index) as:
Correct Answer: C
Rationale: BMI is calculated as weight (kg) / height (m)^2. For 216 lbs (98 kg) and 66 inches (1.68 m), BMI = 98 / (1.68)^2 ≈ 35, indicating obesity (BMI ≥ 30). Physiological Adaptation