NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
The nurse is caring for an ambulatory client who has a new order for continuous cardiac monitoring via a portable unit. It would require follow-up if the nurse
Correct Answer: D
Rationale: Placing electrodes on extremities (
D) is incorrect for cardiac monitoring, which requires chest placement. Verifying gel (
A), cleansing skin (
B), and clipping hair (
C) are appropriate.
Question 2 of 5
A 78 year-old client with pneumonia has a productive cough, but is confused. Safety protective devices (restraints) have been ordered for this client. How can the nurse prevent aspiration?
Correct Answer: C
Rationale: Obtain a sitter for the client while restrained. The plan to use safety devices (restraints) should be rethought. Restraints are used to protect the client from harm caused by removing tubes or getting out of bed. In the event that this restricted movement could cause more harm, such as aspiration, then a sitter should be requested. These are to be provided by the facility in the event the family cannot do so. This client needs to cough and be watched rather than restricted. Suctioning will not prevent aspiration in this situation. Cough suppressants should be avoided for this client.
Question 3 of 5
Which test for diabetes measures the long-term management of the disease?
Correct Answer: D
Rationale: Glycosylated hemoglobin (HbA1c) measures average blood glucose over 2-3 months, assessing long-term diabetes control, unlike fasting, tolerance, or finger stick tests, which are short-term.
Question 4 of 5
The nurse is collecting data from a client during the first routine prenatal examination. According to the last menstrual period, the estimated gestational age is 12 weeks. The nurse would expect to palpate the uterine fundus
Correct Answer: D
Rationale: At 12 weeks, the uterine fundus is just above the symphysis pubis (
D). It reaches the umbilicus at 20 weeks and higher levels later in pregnancy.
Question 5 of 5
The nurse is giving home care to a 69-year-old client who has severe arthritis. Which comment made by the client would indicate to the nurse that the client is experiencing normal changes associated with the aging process?
Correct Answer: C
Rationale: Feeling cold and preferring a warmer environment is a normal age-related change due to decreased thermoregulation. Pain, loose stools, and visual changes may indicate pathology requiring further investigation.