NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client with increased intracranial pressure (ICP). Which statement by the unlicensed assistive personnel would require immediate intervention by the nurse?
Correct Answer: A
Rationale: Raising the head of the bed (
A) without medical guidance can alter ICP dangerously. Dimming lights (
B), moving belongings (
C), and breathing exercises (
D) are generally safe or neutral.
Question 2 of 5
Which of the following organs is most likely to suffer permanent damage from shock?
Correct Answer: D
Rationale: The kidneys are highly susceptible to permanent damage from shock due to reduced perfusion, leading to acute kidney injury.
Question 3 of 5
The nurse inserts a small bore nasogastric (NG) tube and prepares to initiate enteral feedings for a hospitalized client with laryngeal cancer. Which action should the nurse take first?
Correct Answer: D
Rationale: Verifying NG tube placement with an x-ray (
D) is the first step to ensure safety before feedings or medications. Other actions follow confirmation.
Question 4 of 5
The nurse is talking with a client who is scheduled for cardiac catheterization. Which of the following findings would be essential to follow up? Select all that apply.
Correct Answer: B,D,E
Rationale: Allergy to contrast (
B), recent metformin use (
D), and elevated creatinine (E) increase risks during cardiac catheterization (anaphylaxis, lactic acidosis, and renal injury). CRP (
A) and PR interval (
C) are less urgent.
Question 5 of 5
A client is admitted with a diagnosis of myocardial infarction (MI). The client is complaining of chest pain. The nurse knows that pain related to an MI is due to
Correct Answer: A
Rationale: Insufficient oxygenation of the cardiac muscle. Due to ischemia of the heart muscle, the client experiences pain. This happens because an MI can block or interfere with the normal cardiac circulation.