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.
Extract:
Which of the following female patients is at the highest risk for the development of breast cancer?
Question 2 of 5
A 28-year-old who was 10 years old at menarche.
Correct Answer: A
Rationale: Early menarche (before age 12) is a known risk factor for breast cancer due to prolonged exposure to estrogen.
Extract:
Question 3 of 5
A client is receiving nitroglycerin ointment (Nitrol) to treat angina pectoris. The nurse evaluates the therapeutic effectiveness of this drug by assessing the client's response and checking for adverse effects. Which vital sign is most likely to reflect an adverse effect of nitroglycerin?
Correct Answer: C
Rationale: Hypotension and headache are the most common adverse effects of nitroglycerin.
Therefore, blood pressure is the vital sign most likely to reflect an adverse effect of this drug. The nurse should check the client's blood pressure 1 hour after administering nitroglycerin ointment. A blood pressure decrease of 10 mm Hg is within the therapeutic range. If blood pressure falls more than 20 mm Hg below baseline, the nurse should remove the ointment and report the finding to the physician immediately. An above-normal heart rate (tachycardia) is a less common adverse effect of nitroglycerin. Respiratory rate and temperature don't change significantly after nitroglycerin administration.
Question 4 of 5
Three days after a cast is applied to a fracture of the right lower leg the client begins to complain of pain beneath the cast. The nurse should give priority to:
Correct Answer: D
Rationale: Pain beneath a cast may indicate complications like compartment syndrome, requiring immediate physician notification. Elevation or medication may help but are secondary. Pain is not normal .
Question 5 of 5
During a routine examination, the nurse notes that the client seems unusually anxious. Anxiety can affect the genitourinary system by:
Correct Answer: D
Rationale: Anxiety may stimulate or hinder micturition. Its most noticeable effect is to cause frequent voiding and urinary urgency. However, when anxiety leads to generalized muscle tension, it may hinder urination because the perineal muscles must relax to complete micturition. Anxiety doesn't slow the glomerular filtration rate, increase sodium resorption, or decrease potassium excretion.