NCLEX-PN
Free PN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a spinal cord injury at the T4 level. Which of the following findings would be MOST concerning?
Correct Answer: A
Rationale: A T4 spinal cord injury can cause autonomic dysreflexia or neurogenic shock, leading to severe hypotension (80/50) and bradycardia (pulse 50), which are life-threatening and require immediate intervention. Low-grade fever (
B), spasticity (
C), and numbness (
D) are expected or less urgent.
Extract:
The incidence of spinal cord defects/ neural tube defects such as meningomyelocele
Question 2 of 5
The incidence of spinal cord defects/ neural tube defects such as meningomyelocele has decreased because
Correct Answer: B
Rationale: Folic acid supplementation reduces neural tube defects by supporting neural tube closure.
Extract:
Question 3 of 5
The physician has prescribed Cytoxan (cyclophosphamide) for a client with nephrotic syndrome. The nurse should:
Correct Answer: A
Rationale: Cyclophosphamide is nephrotoxic; extra fluids promote excretion and reduce bladder toxicity. Low-protein diets are not indicated, mild soap is unrelated, and joints are not typically inflamed in nephrotic syndrome.
Question 4 of 5
A client is being admitted with a diagnosis of possible pancreatitis. Which of the following is the best support for this diagnosis?
Correct Answer: C
Rationale: The client's amylase level is elevated above the normal level of 200 U/L. This measurement is the most accurate indicator of pancreatitis and the most objective and specific. The answers in A, B, and D are also clinical manifestations of pancreatitis, but are not as specific as the laboratory value, so they are incorrect choices.
Extract:
The problem with sensory recognition is called
Question 5 of 5
The problem with sensory recognition is called
Correct Answer: C
Rationale: Agnosia is the inability to recognize sensory input, such as objects or sounds.