NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
The nurse is giving home care to an older adult. The client says to the nurse, 'I wonder if I have cataracts. My mother went blind from cataracts you know.' Which additional comment the client makes would make the nurse suspect that he might have cataracts?
Correct Answer: B
Rationale: Night driving difficulty is a classic cataract symptom due to lens clouding causing glare and reduced contrast, unlike hyperopia, eye color changes, or photophobia.
Question 2 of 5
The nurse observes a woman in the first stage of labor and encourages her to push before the cervix is fully dilated. The nurse's action could primarily lead to
Correct Answer: D
Rationale: The weight of the uterus can put pressure on the vena cava and aorta when a pregnant woman is flat on her back causing supine hypotension. Turning the woman to the side reduces this pressure and relieves postural hypotension.
Question 3 of 5
The nurse is preparing to administer insulin to a client with type 1 diabetes. The client is prescribed 10 units of regular insulin and 20 units of NPH insulin. The nurse should
Correct Answer: A
Rationale: When mixing regular and NPH insulin, draw up regular (clear) insulin first to prevent contamination with NPH (cloudy). Mixing in one syringe (not separate,
C) is standard, and a 1:1 ratio (
D) is incorrect as doses are specific (10:20 units).
Extract:
A patient walked in an extremely busy emergency room. While waiting for his turn to been seen by the nurse, he suddenly became very aggressive and was demanding to see a doctor. He came forward to the nurse in a threatening stance.
Question 4 of 5
Which of the following actions made by the nurse promotes her safety?
Correct Answer: B
Rationale: Creating a safe distance prioritizes the nurse's safety in a threatening situation.
Extract:
Question 5 of 5
A nurse is caring for a patient with a tracheostomy. Which of the following actions should the nurse take to prevent complications?
Correct Answer: C
Rationale: Keeping the cuff inflated maintains airway patency and prevents aspiration, but pressure must be monitored to avoid tracheal damage. Routine suctioning, hydrogen peroxide, and daily tie changes are not standard.