NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
The nurse is caring for a client with Guillain-Barré syndrome after a recent gastrointestinal illness. Monitoring for which symptom is a nursing care priority in this client?
Correct Answer: C
Rationale: Inability to cough or lift the head (
C) indicates respiratory muscle weakness, a life-threatening complication in Guillain-Barré syndrome, making it the priority.
Question 2 of 5
The nurse is reviewing discharge teaching for a client who had surgical repair of a retinal detachment. Which of the following instructions are appropriate for the nurse to include in the teaching? Select all that apply.
Correct Answer: A, B, D
Rationale: Avoiding rubbing (
A), straining (
B), and reporting sudden pain (
D) prevent complications. Flashes (
C) are not expected and require reporting, and eye rest (E) is unnecessary unless specified.
Question 3 of 5
A client diagnosed with cirrhosis is experiencing pruritus. Which strategies are appropriate for the nurse to teach the client to promote comfort and skin integrity? Select all that apply.
Correct Answer: A, C, D
Rationale: Short fingernails (
A), cholestyramine timing (
C), and moisturizing cream (
D) reduce itching and protect skin. Hot water (
B) worsens itching, and wool gloves/tight stockings (E) may irritate skin.
Question 4 of 5
Which statement by a parent would alert the nurse to assess for iron deficiency anemia in a 14 month-old child?
Correct Answer: B
Rationale: My child doesn't like many fruits and vegetables, but she really loves her milk. Excessive milk intake can displace iron-rich foods, leading to iron deficiency anemia.
Question 5 of 5
The nurse assigns an unlicensed assistive personnel (UAP) to care for a client with a musculoskeletal disorder. The client ambulates with a leg splint. Which task requires supervision of the UAP?
Correct Answer: B
Rationale: Monitor the client's response to interventions requires assessment, a task to be performed by an RN.