NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
The nurse is monitoring a client who is in active labor with a cervical dilation of 6 cm. Which finding requires intervention by the nurse?
Correct Answer: A
Rationale: Contraction duration of 95 seconds (
A) is too long and may reduce fetal oxygenation, requiring intervention. Frequency (
B), intensity (
C), and resting tone (
D) are within normal limits.
Question 2 of 5
The nurse is preparing to administer several medications through a client's feeding tube. None of the medications are extended release. Which of the following actions should the nurse implement? Select all that apply.
Correct Answer: B, C, D
Rationale: Crushing separately (
B) prevents interactions, liquid forms (
C) are preferred, and flushing (
D) ensures patency. Combining all medications (
A) or mixing with formula (E) can cause clogs or interactions.
Question 3 of 5
The nurse caring for a 2-year-old client should expect the child to be able to perform which of the following actions? Select all that apply.
Correct Answer: C, D, E
Rationale: A 2-year-old can kick a ball (
C), use 2-word phrases (
D), and walk without help (E). Drawing a square (
A) and hopping on one foot (
B) are skills typically developed later.
Question 4 of 5
The practical nurse is collaborating with the registered nurse to form a care plan for a client with a possible diagnosis of Guillain-Barré syndrome. The nurse should give priority to which client assessment?
Correct Answer: D
Rationale: Respiratory assessment (
D) is the priority in Guillain-Barré syndrome due to the risk of respiratory muscle paralysis. Reflexes (
B) are relevant but less urgent, and blood pressure (
A) and pupils (
C) are not primary concerns.
Question 5 of 5
The nurse is assisting with care of a client with blunt head injury admitted for observation, including hourly neurologic checks. At 1:00 AM, the client reports a headache; the neurologic check is normal, and the nurse administers acetaminophen prn. At 2:00 AM, the client appears to be sleeping. What action does the nurse anticipate taking?
Correct Answer: A
Rationale: Hourly neurologic checks require arousing the client to assess orientation (
A). Checking paresthesia (
B), assuming relief (
C), or only verifying respiratory rate (
D) do not meet monitoring requirements.