NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for an adult male who is diagnosed with probable appendicitis. Which assessment finding is most consistent with the diagnosis?
Correct Answer: C
Rationale: Nausea and vomiting are typically seen in persons who have appendicitis. The pain of appendicitis is in the right lower quadrant, not the right upper quadrant. The white blood cell count is elevated in the person with appendicitis. The temperature of a person with appendicitis is likely to be a low-grade fever, not a high fever.
Question 2 of 5
Ashley and her boyfriend Chris, both 19 years old, are transported to the Emergency Department after being involved in a motorcycle accident. Chris is badly hurt, but Ashley has no apparent injuries, though she appears confused and has trouble focusing on what is going on around her. She complains of dizziness and nausea. Her pulse is rapid, and she is hyperventilating. The nurse should assess Ashley's level of anxiety as:
Correct Answer: C
Rationale: Ashley's symptoms, including confusion, dizziness, nausea, rapid pulse, and hyperventilation, indicate severe anxiety, characterized by somatic symptoms and impaired problem-solving. Mild or moderate anxiety would present with less intense symptoms, and panic would involve loss of reality. Psychosocial Integrity
Question 3 of 5
Which of the following nursing diagnoses might be appropriate as Parkinson's disease progresses and complications develop?
Correct Answer: A
Rationale: Parkinson's disease leads to motor symptoms like rigidity and shuffling gait, causing impaired physical mobility. The other diagnoses are not typically associated with Parkinson's disease complications. Reduction of Risk Potential
Question 4 of 5
The community health nurse has been caring for an adolescent with a history of morbid obesity, asthma, and hypertension, and is 22 weeks pregnant. Which of these lab reports need to be called to the teen’s provider within the next hour?
Correct Answer: B
Rationale: Magnesium 0.8 mEq/L and creatinine 3 mg/dl. The magnesium is low and the creatinine is high which indicates renal failure. With the history of hypertension, the findings exhibit the risk of preeclampsia. The client’s lab values are all abnormal except for the platelets. The client needs to be referred for immediate follow up with a provider.
Question 5 of 5
Which sign might the nurse see in a client with a high ammonia level?
Correct Answer: A
Rationale: High ammonia levels, often due to liver dysfunction, can lead to hepatic encephalopathy, with coma as a severe symptom. The other signs are not directly related to hyperammonemia. Reduction of Risk Potential