NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse must irrigate a gaping abdominal incision with sterile normal saline, using a piston syringe. How should the nurse proceed?
Correct Answer: A
Rationale:
To wash away tissue debris and drainage effectively, the nurse should irrigate the wound until the solution becomes clear or all of the solution has been used. After the irrigation, the nurse should dry the area around the wound; moistening it promotes microorganism growth and skin irritation. When the area is dry, the nurse should apply a sterile dressing, rather than a wet-to-dry dressing. The nurse always should instill the irrigating solution gently; rapid or forceful instillation can damage tissues.
Question 2 of 5
A 38-year-old woman, mother of two, has a mastectomy for breast cancer. When she returns to the physician's office a month later for a routine check-up, the nurse asks the client how she has been. Which of the following responses, if made by the client to the nurse, indicates that the client is experiencing a normal reaction to the surgery?
Correct Answer: B
Rationale: One month post-mastectomy, emotional responses like difficulty coping and frequent crying are normal as the client processes grief and body image changes. Helping family (
A) or returning to work (
D) suggest advanced coping stages premature at this point, and social withdrawal (
C) indicates an abnormal reaction.
Extract:
The nurse would expect an elderly client with a hearing loss caused by aging to have:
Question 3 of 5
The nurse would expect an elderly client with a hearing loss caused by aging to have:
Correct Answer: D
Rationale: Presbycusis, age-related hearing loss, results from inner ear damage.
Extract:
Question 4 of 5
A woman asks, 'How much alcohol can I safely drink while pregnant?' The nurse's best response is:
Correct Answer: A
Rationale: No safe level of alcohol consumption during pregnancy is established due to risks like fetal alcohol syndrome. The other responses provide incorrect or misleading information. Psychosocial Integrity
Question 5 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