NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is talking with a client. The client abruptly says to the nurse, 'The moon is full. Astronauts walk on the moon. Walking is a good health habit.' The client's remarks most likely indicate
Correct Answer: C
Rationale: Loose associations. The client's statements are loosely connected by related words, indicating disorganized thought.
Question 2 of 5
The nurse is talking with a client. The client abruptly says to the nurse, 'The moon is full. Astronauts walk on the moon. Walking is a good health habit.' The client's remarks most likely indicate
Correct Answer: C
Rationale: Loose associations. The client's statements are loosely connected by related words, indicating disorganized thought.
Question 3 of 5
The licensed practical nurse is caring for a client with congestive heart failure. The nurse should immediately report the presence of:
Correct Answer: A
Rationale: Pink, frothy sputum indicates pulmonary edema, a life-threatening complication of CHF requiring immediate reporting. Edema, shortness of breath, and weak pulses are expected but less urgent.
Question 4 of 5
Assessment of the client with an arteriovenous fistula for hemodialysis should include:
Correct Answer: B
Rationale: Palpating a thrill confirms the patency of an AV fistula. Visible pulsation is not typical, percussion is irrelevant, and blood pressure is not auscultated in the fistula limb. Physiological Adaptation
Question 5 of 5
An adult is being evaluated for a possible pituitary tumor. What test(s) does the nurse expect may be ordered for this client to confirm the diagnosis? Select all that apply.
Correct Answer: C,F
Rationale: MRI visualizes pituitary tumors, and visual field tests assess optic nerve compression from tumor growth. Urine, coagulation, x-rays, or nerve studies are less specific for diagnosis.