NCLEX-PN
NCLEX PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for the assigned clients on a pediatric inpatient unit. Which client is the priority?
Correct Answer: A
Rationale: Sudden unilateral arm weakness in a sickle cell crisis may indicate a stroke, a life-threatening emergency requiring immediate attention.
Question 2 of 5
The nurse is caring for a client admitted 3 days ago with bacterial pneumonia who has become short of breath, restless, and difficult to rouse. Which additional finding indicates to the nurse that the client may be developing sepsis?
Correct Answer: A
Rationale: Prolonged capillary refill time suggests poor perfusion, a sign of sepsis, requiring immediate intervention.
Question 3 of 5
A client is on a low-residue diet. All of the following are on the client's tray. Which should be removed?
Correct Answer: C
Rationale: Strawberry jam contains seeds, which increase intestinal residue, contraindicated in a low-residue diet. Roast beef, mashed potatoes, and white bread are low-fiber and appropriate.
Question 4 of 5
A client with an implantable cardioverter defibrillator (ICD) develops ventricular tachycardia (VT) with a pulse while admitted to the medical-surgical unit. The ICD fires multiple times without successfully stopping the VT, causing the client to become confused and difficult to rouse. Which action by the nurse is appropriate?
Correct Answer: D
Rationale: Persistent VT causing altered mental status requires synchronized cardioversion to restore normal rhythm.
Question 5 of 5
The nurse is caring for a woman who is admitted for a hysterectomy. The woman does not speak English. No staff members speak the client's language. Which approach by the nurse would be most appropriate when communicating with the client about her care before and after the surgery?
Correct Answer: D
Rationale: The nurse should request an interpreter from social services to ensure accurate communication. Using a child to interpret is inappropriate due to medical terminology and privacy concerns. Pictures, gestures, or slow speech in English are insufficient for surgical care discussions.