NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
The nurse is caring for clients in the GYN clinic. A client at 28-weeks gestation states that she occasionally leaks urine when she coughs or sneezes. Which of the following actions by the nurse is BEST?
Correct Answer: A
Rationale: Urine leakage during coughing or sneezing at 28 weeks gestation suggests stress incontinence, common due to pelvic pressure. Kegel exercises strengthen pelvic floor muscles, improving control. A urine specimen (
B) is unnecessary without infection signs, leakage is not ‘expected’ (
C), and specialist referral (
D) is premature.
Extract:
Valerie, 37 years old, enters the hospital with symptoms of Addison's disease. She relates that she was taking cortisone pill for her contact dermatitis, but they bothered her stomach so she quit taking them. On admission Valerie's vital signs are: BP was 80/60; HR 115; RR 24. Laboratory results include a sodium level 128 mEq/L; potassium 5.5 mEq/L.
Question 2 of 5
Hypotension in Addison's disease involves a disturbance in the production of
Correct Answer: D
Rationale: Mineralcorticoids such as aldosterone cause the kidneys to retain sodium ions. With sodium, water is also retained, elevating blood pressure. Absence of this hormone causes hypotension.
Extract:
Marie is a 5-year-old girl is admitted with a diagnosis of Acute Lymphoblastic Leukemia.
Question 3 of 5
Incidence of Leukemia is higher in children. Pathophysiology of infection in Leukemia is due primarily to:
Correct Answer: C
Rationale: Elevated WBC with impaired function (neutropenia) predisposes to infections in leukemia.
Extract:
Question 4 of 5
The nurse is caring for a client who had a right below-the-knee amputation three days ago. The client complains of pain in the right foot and asks for pain medication. What nursing action is appropriate initially?
Correct Answer: C
Rationale: Phantom limb pain, common post-amputation, is real pain; administering ordered pain medication addresses it effectively. Elevation, placebos, or discussion are less appropriate initially.
Question 5 of 5
A parent asks the nurse about a 6 year-old child's apparent need for punishment following a series of misbehaviors. The child was diagnosed with rheumatic fever a few weeks ago. Which response is most appropriate?
Correct Answer: D
Rationale: A major manifestation of rheumatic fever that reflects central nervous system involvement is chorea. Early symptoms of chorea include behavior changes and clumsiness. Chorea is characterized by sudden, aimless, irregular movements of the extremities, involuntary facial grimaces, speech disturbances, emotional lability, and muscle weakness.