NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a history of epilepsy who is experiencing a tonic-clonic seizure. Which of the following actions should the nurse prioritize?
Correct Answer: B
Rationale: Protecting the client from injury (e.g., moving objects, padding surfaces) is the priority during a tonic-clonic seizure to prevent harm.
Tongue depressors (
A) risk injury, restraints (
B) are unsafe, and IV lorazepam (
D) requires a physician order and is secondary.
Extract:
The basic pathophysiologic problem in cirrhosis of the liver causing esophageal varices is:
Question 2 of 5
The basic pathophysiologic problem in cirrhosis of the liver causing esophageal varices is:
Correct Answer: B
Rationale: Portal hypertension causes blood backup, leading to esophageal varices.
Extract:
Question 3 of 5
A client was admitted with a diagnosis of pneumonia. When auscultating the client's breath sounds, the nurse hears inspiratory crackles in the right base. Temperature is 102.3 degrees Fahrenheit orally. What other finding would the nurse expect?
Correct Answer: C
Rationale: Mental confusion. Crackles suggest pneumonia, which is likely to be accompanied by mental confusion related to hypoxia.
Extract:
John H is a 66-year-old man with a history of heavy smoking presented himself to the ER due to difficulty breathing of 2 years duration. Mr. H was also diagnosed with effusion of the right lung. He is now scheduled for chest tube insertion.
Question 4 of 5
Negative pressure in the pleural space is indicated by
Correct Answer: B
Rationale: Negative pressure in the water-seal chamber maintains lung expansion.
Extract:
Question 5 of 5
The licensed practical nurse is preparing to administer an injection of vitamin K to a newborn. The nurse should administer the injection in the:
Correct Answer: B
Rationale: The vastus lateralis is the preferred site for newborn IM injections due to its large muscle mass and safety. Other sites are less developed or risk nerve damage.