NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
The nurse is inserting an indwelling urinary catheter for a male client. After inserting the catheter 6 inches (15.2 cm), the nurse notes a small amount of urine in the tubing. Which of the following actions should the nurse take next?
Correct Answer: D
Rationale: Advancing to the bifurcation (
D) ensures proper placement in the bladder before inflating the balloon. Measuring output (
A), inflating early (
B), or securing (
C) are premature.
Question 2 of 5
The nurse is providing home care for a client with heart failure and pulmonary edema. Which nursing diagnosis should have priority in planning care?
Correct Answer: B
Rationale: Activity intolerance related to oxygen supply and demand imbalance. This is the primary problem due to decreased cardiac output related to heart failure. There is a reduction of oxygen, leading to findings of dyspnea and fatigue.
Question 3 of 5
The nurse enters an infant's room and observes that the infant is responsive but is choking and turning blue. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Back slaps and chest thrusts (
C) are the appropriate intervention for a choking infant. CPR (
A) is for cardiac arrest, abdominal thrusts (
B) are for older children, and blind sweeps (
D) are dangerous.
Question 4 of 5
A nurse is reinforcing fall-prevention teaching to the spouse of a 78-year-old client who recently experienced a stroke. What suggestion by the nurse is most effective in preventing falls?
Correct Answer: C
Rationale: Removing rugs and installing grab bars (
C) directly addresses environmental hazards, the most effective fall prevention strategy. Rising slowly (
A), using a walker (
B), or hiring an aide (
D) are helpful but less comprehensive.
Question 5 of 5
The client with hyperparathyroidism will exhibit signs of:
Correct Answer: C
Rationale: Hyperparathyroidism increases parathyroid hormone, causing hypercalcemia by mobilizing calcium from bones and increasing absorption. Hypokalemia , hyponatremia , and hyperphosphatemia are not typically associated.