NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
The nurse is making assignments for the day's care. Which assignment should not be given to the nursing assistant?
Correct Answer: B
Rationale: Administering an enema requires nursing judgment and is outside a nursing assistant's scope. Other tasks are appropriate for a nursing assistant.
Question 2 of 5
In assessing the healing of a client's wound during a home visit, which of the following is the best indicator of good healing?
Correct Answer: C
Rationale: Reddened tissue. Redness indicates granulation tissue formation, a sign of healing.
Question 3 of 5
The LPN/LVN is providing home care to an elderly widow who has senile dementia. The woman tells the nurse that her daughter hits her and tells her to shut up. The nurse notes one ecchymotic area on the client's right forearm. The daughter seems attentive to the woman when the nurse is present. What action should the nurse take?
Correct Answer: D
Rationale: Reporting suspected abuse to the supervisor initiates investigation and protection, the appropriate action for potential elder abuse.
Question 4 of 5
The nurse should consider which of the following client reports as an indication of an allergic reaction?
Correct Answer: D
Rationale: Lip swelling (
D) indicates an allergic reaction to food. Broccoli/cabbage (
A) affects warfarin's efficacy, headaches (
B) are a side effect of nitroglycerin, and swelling (
C) is a side effect of felodipine.
Question 5 of 5
The nurse is caring for an 87 year-old client with urinary retention. Which finding should be reported immediately?
Correct Answer: A
Rationale: Fecal impaction. The nurse should report fecal impaction or constipation which can cause obstruction of the bladder outlet. Bladder outlet obstruction is a common cause of urine retention in the elderly.