NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
The nurse is instructing the client with a fractured femur in crutch walking. When instructing the client in the best method of manipulating stairs, the nurse should tell the client to:
Correct Answer: B
Rationale: For ascending stairs, lead with the unaffected leg to bear weight, followed by crutches and affected leg. This ensures stability and safety.
Extract:
Vital signs
Temperature 95 F (35 C)
Blood pressure 90/50 mm Hg
Heart rate 50/min
Respirations 6/min
SpO2 83%
Question 2 of 5
The nurse is caring for a client with hypothyroidism who has become lethargic and difficult to rouse. Which action is the priority?
Correct Answer: B
Rationale: Lethargy and unresponsiveness in hypothyroidism suggest myxedema coma, requiring immediate airway management with ventilation (
B). Levothyroxine (
A), warming (
C), and lab review (
D) are secondary.
Extract:
Question 3 of 5
The nurse working on a pediatric oncology unit recognizes which as a personal coping strategy for remaining effective when caring for dying children?
Correct Answer: D
Rationale: Increasing exercise (
D) is a healthy coping strategy to manage stress. Attending memorials (
A), avoiding grief expression (
B), or ending contact (
C) may not promote long-term emotional resilience.
Question 4 of 5
A 45-year-old client is in a rehabilitation unit receiving long-term care for injuries sustained in a motor vehicle accident. The client's spouse used to stay home but started working to replace the client's lost income. The nurse notices that the client has become withdrawn and increasingly frustrated by small inconveniences. Which statement is the most appropriate first response by the nurse?
Correct Answer: B
Rationale: Acknowledging observed behavior (
B) opens a therapeutic conversation and validates the client's feelings. Asking about the spouse's job (
A), assuming anger (
C), or suggesting a support group (
D) may not address the client's current emotional state.
Question 5 of 5
A community health nurse is preparing to administer influenza vaccines. Which clients can safely receive the live-attenuated, intranasal influenza vaccine? Select all that apply.
Correct Answer: B, C
Rationale: The live-attenuated vaccine is safe for healthy individuals aged 2-49, like the 3-year-old (
B) and postpartum client (
C). It's contraindicated for infants under 2 (
A), pregnant women (
D), and immunocompromised clients (E).