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
Damage to which area of the brain results in receptive aphasia?
Correct Answer: C
Rationale: The temporal lobe contains the auditory association area. If the area is damaged in the dominant hemisphere, the client hears words but doesn't know their meaning. Damage to the parietal lobe affects the client's ability to identify special relationships with the environment. When damaged, the occipital lobe affects visual associations. The client can visualize objects but can't identify them. The frontal lobe acts as a storage area for memory.
Question 3 of 5
A nurse is assessing a patient's vital signs. Which of the following findings should be reported immediately?
Correct Answer: C
Rationale: A respiratory rate of 10 breaths per minute is abnormally low, indicating potential respiratory depression or distress, requiring immediate reporting. Other findings are within normal ranges.
Extract:
A patient with lower back pain is tentatively diagnosed as having a herniated intervertebral disc.
Question 4 of 5
When assessing this patient's back pain, the nurse should ask:
Correct Answer: C
Rationale: Pain during bowel movement can indicate nerve compression from a herniated disc, relevant to the diagnosis.
Extract:
Question 5 of 5
The nurse is caring for clients in the student health center. A client confides to the nurse that the client's boyfriend informed her that he tested positive for hepatitis B. Which of the following responses by the nurse is BEST?
Correct Answer: D
Rationale: Hepatitis B is transmitted through sexual contact or parenteral routes. Assessing exposure by asking about unprotected sex is the best initial response to determine the client’s risk and guide further actions (e.g., testing, HBIG, or vaccination).
Choice A is empathetic but non-assessing, B and C assume exposure without confirmation, and D prioritizes assessment.