NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for an 11-year-old patient being treated for a fractured right femur with balanced suspension traction with a Thomas splint and Pearson attachment. The nurse notes that the patient's left leg is externally rotated. The nurse should
Correct Answer: A
Rationale: A trochanter roll placed on the outer aspect of the thigh holds the hip in a neutral position and prevents external rotation, maintaining proper leg alignment. Resistive exercises or active movement (choices B and
C) do not address alignment, and instructing the patient (choice
D) is ineffective without physical support.
Question 2 of 5
The nurse is teaching a client with a new ileostomy about stoma care. Which of the following statements by the client indicates understanding?
Correct Answer: A
Rationale: Cleaning the peristomal skin with mild soap and water prevents irritation and maintains skin integrity. Daily pouch changes (
B) are unnecessary (typically every 3–7 days), adhesive removers (
C) are for pouch removal, and bleeding (
D) is abnormal and requires evaluation.
Extract:
Mr. Holland is a 55-year-old male patient who has a long history of ETOH abuse. He presently undergoes evaluation tests for suspected liver cirrhosis.
Question 3 of 5
The nurse understands that a liver biopsy may be contraindicated in certain situations. Therefore, it is important for the nurse to assess the patient for:
Correct Answer: C
Rationale: Prolonged prothrombin time indicates bleeding risk, a contraindication for liver biopsy.
Extract:
Ms. Wilson has undergone total thyroidectomy.
Question 4 of 5
Following surgery, the patient should be observed for signs and symptoms of thyroid storm. Which of the following is consistent with thyroid storm?
Correct Answer: A
Rationale: Tachycardia, such as a heart rate of 180 bpm, is one of the manifestations of thyroid storm, a life-threatening condition.
Extract:
Nitroglycerin SL is prescribed for anginal pain.
Question 5 of 5
When teaching how to use nitroglycerin, the nurse tells the client to place 1 tablet under the tongue when pain occurs and to repeat the dose in 5 minutes if pain persists. The nurse should also tell the client to
Correct Answer: D
Rationale: Anginal pain, which can be anticipated during certain activities, may be prevented by dilating the coronary arteries immediately before engaging in activity, and an additional tablet post-attack can prevent recurrence.