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
During morning rounds, the nurse notices blood spots on the pillowcase of a child with acute lymphoid leukemia. The nurse should be most concerned about the client's:
Correct Answer: C
Rationale: Blood spots suggest bleeding, likely due to low platelets (thrombocytopenia) in acute lymphoid leukemia, so C is correct. Red blood cell count , white blood cell count , and reticulocyte count are less directly related to bleeding.
Question 3 of 5
Which of the following nursing diagnoses might be appropriate as Parkinson's disease progresses and complications develop?
Correct Answer: A
Rationale: Parkinson's disease leads to motor symptoms like rigidity and shuffling gait, causing impaired physical mobility. The other diagnoses are not typically associated with Parkinson's disease complications. Reduction of Risk Potential
Question 4 of 5
A corporate executive works 60-80 hours a week. The client is experiencing some physical signs of stress. The nurse teaches the client biofeedback techniques. This is an example of which of the following health-promotion interventions?
Correct Answer: B
Rationale: Biofeedback is a relaxation technique that helps manage stress by teaching control over physiological responses. It is not structure, time management, or exercise. Psychosocial Integrity
Question 5 of 5
First-time parents bring their 5 day-old infant to the pediatrician's office because they are extremely concerned about its breathing pattern. The nurse assesses the baby and finds that the breath sounds are clear with equal chest expansion. The respiratory rate is 38-42 breaths per minute with occasional periods of apnea lasting 10 seconds in length. What is the correct analysis of these findings?
Correct Answer: C
Rationale: This breathing pattern is normal. Newborns typically have a respiratory rate of 30-60 breaths/minute with brief apneic periods.