NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a diagnosis of chronic obstructive pulmonary disease (COPD). The nurse observes the client having periods of apnea during sleep. The nurse should
Correct Answer: C
Rationale: Periods of apnea during sleep in a COPD client may indicate sleep apnea or worsening respiratory status, requiring medical evaluation. Increasing oxygen (
A) without orders is unsafe, repositioning (
B) may not address apnea, and only documenting (
D) delays intervention.
Question 2 of 5
A 65-year-old female client is experiencing postmenopausal bleeding. Which type of physician should this client be encouraged to see?
Correct Answer: B
Rationale: A gynecologist specializes in female reproductive health and is best suited to evaluate postmenopausal bleeding, which may indicate serious conditions like endometrial cancer. Coordinated Care
Question 3 of 5
Which client is at risk for the development of pernicious anemia?
Correct Answer: A
Rationale: Gastric resection can lead to pernicious anemia due to reduced intrinsic factor production, impairing vitamin B12 absorption.
Question 4 of 5
An elderly client denies that abuse is occurring. Which of the following factors could be a barrier for the client to admit being a victim?
Correct Answer: D
Rationale: Fear of reprisal or further violence is a common barrier preventing elderly clients from reporting abuse, due to dependency on the abuser or fear of consequences. The other options are less relevant. Psychosocial Integrity
Question 5 of 5
The physician has ordered an oil retention enema and a cleansing enema for a client. How should the nurse plan to carry out these orders?
Correct Answer: B
Rationale: Oil retention enemas soften hardened stool, and cleansing enemas remove it. Administering the oil retention enema first allows time for stool softening, followed by the cleansing enema to evacuate it. Mixing or reversing the order is ineffective, and spacing over days is unnecessary.