NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
The nurse is teaching a client with a new ileostomy about stoma care. Which of the following statements by the client indicates understanding?
Correct Answer: A
Rationale: Cleaning the peristomal skin with mild soap and water prevents irritation and maintains skin integrity. Daily pouch changes (
B) are unnecessary (typically every 3–7 days), adhesive removers (
C) are for pouch removal, and bleeding (
D) is abnormal and requires evaluation.
Question 2 of 5
A client with Kawasaki disease has bilateral congestion of the conjunctivae, dry cracked lips, a strawberry tongue, and edema of the hands and feet followed by desquamation of fingers and toes. Which of the following nursing measures is most appropriate to meet the expected outcome of positive body image?
Correct Answer: C
Rationale: Explaining the disease progression helps the client and family understand that physical changes are temporary, supporting a positive body image. Other options address treatment or monitoring, not body image directly. Health Promotion and Maintenance
Question 3 of 5
An 8-year-old admitted with an upper respiratory infection has an order for O2 saturation via pulse oximeter. To ensure an accurate reading, the nurse should:
Correct Answer: D
Rationale: Placing the probe on the finger or earlobe ensures accurate measurement of oxygen saturation, as these areas have good peripheral blood flow. The abdomen is not suitable, recalibration is not routinely required, and waiting 15 minutes is unnecessary.
Question 4 of 5
The nurse is caring for an 11-year-old patient being treated for a fractured right femur with balanced suspension traction with a Thomas splint and Pearson attachment. The nurse notes that the patient's left leg is externally rotated. The nurse should
Correct Answer: A
Rationale: A trochanter roll placed on the outer aspect of the thigh holds the hip in a neutral position and prevents external rotation, maintaining proper leg alignment. Resistive exercises or active movement (choices B and
C) do not address alignment, and instructing the patient (choice
D) is ineffective without physical support.
Question 5 of 5
A factory worker is brought to the nurse's office after a metal fragment enters her right eye. The nurse should:
Correct Answer: D
Rationale: Covering both eyes prevents movement and further damage, and ER transport ensures specialist care. Covering only one eye, attempting removal, or flushing risks worsening the injury.