NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
The nurse is caring for clients on the neurology unit. What would be the MOST appropriate action for the nurse to take after noting that a client suddenly developed a fixed and dilated pupil?
Correct Answer: D
Rationale: A fixed and dilated pupil is a neurological emergency, often indicating increased intracranial pressure (ICP) or brain herniation. Immediate physician notification is critical for timely intervention. Reassessing in five minutes delays care, checking visual acuity is irrelevant, and lowering the bed could worsen ICP.
Question 2 of 5
A nurse is documenting care provided to a patient. Which of the following entries is most appropriate?
Correct Answer: B
Rationale: Stating 'pain is 4/10' is objective, specific, and measurable, meeting documentation standards. Other entries are vague and lack clinical detail, reducing their utility.
Question 3 of 5
When the nurse is determining the appropriate size of an oropharyngeal airway to insert, what part of a client's body should she measure?
Correct Answer: A
Rationale: Measuring from the corner of the mouth to the tragus of the ear ensures the oropharyngeal airway is the correct size to maintain an open airway without causing obstruction. Reduction of Risk Potential
Extract:
The physician orders non-weight bearing with crutches for a patient with a leg injury.
Question 4 of 5
The nurse would recommend which of the following herb to the patient with vomiting and nausea?
Correct Answer: A
Rationale: Ginger root is effective for nausea and vomiting, a safe herbal recommendation.
Extract:
John H is a 66-year-old man with a history of heavy smoking presented himself to the ER due to difficulty breathing of 2 years duration. Mr. H was also diagnosed with effusion of the right lung. He is now scheduled for chest tube insertion.
Question 5 of 5
Negative pressure in the pleural space is indicated by
Correct Answer: B
Rationale: Negative pressure in the water-seal chamber maintains lung expansion.