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
The nurse is giving home care to an older adult. The client says to the nurse, 'I wonder if I have cataracts. My mother went blind from cataracts you know.' Which additional comment the client makes would make the nurse suspect that he might have cataracts?
Correct Answer: B
Rationale: Night driving difficulty is a classic cataract symptom due to lens clouding causing glare and reduced contrast, unlike hyperopia, eye color changes, or photophobia.
Question 3 of 5
The primary physiological alteration in the development of asthma is:
Correct Answer: D
Rationale: Asthma is primarily driven by bronchiolar smooth muscle spasm, causing airway narrowing and obstruction. Inflammation and mucus hypersecretion are secondary contributors.
Question 4 of 5
When death is imminent, the nurse observes the client for:
Correct Answer: B
Rationale: Cheyne-Stokes respiration, with alternating deep and shallow breathing and apnea, is a common sign of impending death, often linked to cardiac failure. The other signs are less specific. Psychosocial Integrity
Question 5 of 5
To remove hard contact lenses from an unresponsive client, the nurse should:
Correct Answer: D
Rationale: Ensuring the lens is on the cornea and gently manipulating the lids prevents corneal damage during removal. Grasping or irrigating may cause injury, and sterile gloves are unnecessary unless infection is present. Basic Care and Comfort