NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
The nurse is to obtain an apical-radial pulse on a client. Which statement is true regarding obtaining an apical-radial pulse?
Correct Answer: C
Rationale: Apical-radial pulse requires simultaneous measurement by two people to detect a pulse deficit, ensuring accuracy in conditions like atrial fibrillation.
Question 2 of 5
The nurse is caring for an adult who had abdominal surgery yesterday. When the nurse encourages the client to take some deep breaths and cough, the client tells the nurse, 'It hurts when I cough. I just can't do it.' What is the nurse's best response?
Correct Answer: C
Rationale: Splinting the incision with a pillow reduces pain during coughing, promoting effective lung expansion to prevent pneumonia.
Question 3 of 5
The nurse is assessing a client with suspected appendicitis. Which of the following findings would support this diagnosis?
Correct Answer: A
Rationale: Pain at McBurney’s point (right lower quadrant) is a classic sign of appendicitis, indicating peritoneal irritation. Epigastric burning (
B) suggests ulcers, loose stools (
C) indicate gastroenteritis, and pain relief lying flat (
D) is nonspecific.
Question 4 of 5
A client with chronic renal failure has a serum potassium level of 6.8 mEq/L. What should the nurse assess first?
Correct Answer: D
Rationale: The nurse should assess the client's cardiac rhythm using electrocardiography because an elevated serum potassium level may lead to a life-threatening cardiac arrhythmia. The client's blood pressure may change, but only as a result of the arrhythmia.
Therefore, the nurse should assess blood pressure later. The nurse also can delay assessing respirations and temperature because these aren't affected by the serum potassium level.
Extract:
A 4-year-old child is being discharge.
Question 5 of 5
What is the suitable car seat for the child?
Correct Answer: B
Rationale: A 4-year-old typically uses a forward-facing car seat with a harness, appropriate for their size.