NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a post-op colostomy client. The client begins to cry, saying 'I'll never be attractive again with this ugly red thing.' What should be the first action taken by the nurse?
Correct Answer: D
Rationale: Encourage the client to discuss her feelings about the colostomy. Assessing the client's personal feelings about the stoma and colostomy care is essential to identify specific concerns before offering solutions.
Question 2 of 5
While assessing a pre-op client, the nurse learns that the client is allergic to shellfish. How might this data affect the client's surgical experience?
Correct Answer: B
Rationale: Shellfish allergy indicates potential iodine sensitivity, which may require altering the skin preparation (e.g., avoiding iodine-based solutions like Betadine).
Question 3 of 5
The nurse is caring for a client in the emergency department who presents with a complaint of fatigue and shortness of breath. Which physical assessment findings if noted by the nurse warrants a need for follow up?
Correct Answer: C
Rationale: A reddish purple mark on the neck (e.g., bruising or petechiae) with fatigue and shortness of breath may indicate a hematologic or cardiovascular issue, requiring follow-up. Reddened sclera, scalp flaking, or rashes are less urgent and unrelated to the primary symptoms.
Question 4 of 5
A 14-year-old girl is brought to the emergency room because she is difficult to arouse. She is 5 feet, 8 inches tall and weighs 80 pounds. What additional findings would the nurse expect to be present?
Correct Answer: B
Rationale: Severe underweight (suggesting anorexia nervosa) often causes amenorrhea due to hormonal disruption. Tachycardia, wheezing, or acne are less specific.
Extract:
Marie is a 5-year-old girl is admitted with a diagnosis of Acute Lymphoblastic Leukemia.
Question 5 of 5
Which of the following indicate that the nurse understands the plan of care for Marie?
Correct Answer: B
Rationale: Reverse isolation protects neutropenic patients from infections.