NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
The nurse monitoring a client with appendicitis will expect the client to give which description of the associated abdominal pain?
Correct Answer: C
Rationale: Appendicitis typically causes severe pain in the right lower quadrant (
C). Upper abdominal burning (
A) suggests gastritis, left-sided pain (
B) is atypical, and shoulder pain (
D) may indicate referred pain from other conditions.
Question 2 of 5
The nurse is reinforcing teaching to parents about childhood nutrition and feeding practices. The nurse recognizes that which snack is best for a toddler?
Correct Answer: D
Rationale: A slice of cheese (
D) is a nutrient-dense, easy-to-chew snack suitable for a toddler, providing protein and calcium. Orange juice (
A) is high in sugar, sweetened cereal (
B) lacks nutritional value, and raw carrot sticks (
C) pose a choking hazard.
Question 3 of 5
Which nursing diagnosis is most appropriate for a client who has Cushing's syndrome?
Correct Answer: A
Rationale: Cushing's syndrome causes cortisol excess, leading to osteoporosis and increased fracture risk, making 'Risk for injury related to osteoporosis' the most appropriate diagnosis.
Question 4 of 5
An adult had a thyroidectomy under local anesthesia and is now in the postanesthesia care unit. Which finding is of most concern to the nurse?
Correct Answer: B
Rationale: Involuntary hand clenching (Trousseau's sign) suggests hypocalcemia from parathyroid damage during thyroidectomy, a serious complication requiring immediate attention. Sore throat, upright position, or thirst are less urgent.
Question 5 of 5
An adult is scheduled for a paracentesis. What should the nurse plan to do immediately before the procedure is started?
Correct Answer: B
Rationale: Emptying the bladder before paracentesis prevents accidental puncture of the bladder during needle insertion into the abdominal cavity. Water intake, bowel emptying, or sedation are not immediate pre-procedure priorities.