NCLEX-PN
NCLEX PN Exam Practice Test Questions
Extract:
Question 1 of 5
The nurse notes that a client with COPD demonstrates increased dyspnea in certain positions. Which position is most likely to lessen the client's dyspnea?
Correct Answer: B
Rationale: The client with chronic obstructive pulmonary disease has increased difficulty breathing when lying down. His respiratory effort is improved by standing or sitting upright or by having the bed in high Fowler's position. Answers A, C, and D do not alleviate the client's dyspnea; therefore they are incorrect.
Question 2 of 5
The nurse is evaluating the security of the client's tracheostomy ties. Which of the following methods is used to assess for tie tightness?
Correct Answer: A
Rationale: Placing one finger between the tie and neck ensures ties are secure but not overly tight, preventing tissue damage or airway obstruction.
Question 3 of 5
The nurse is reinforcing discharge instructions for a postoperative client who had a partial laryngectomy for laryngeal cancer. The client is concerned because the health care provider said there was damage to the ninth cranial nerve. Which statement made by the nurse is most appropriate?
Correct Answer: D
Rationale: The ninth cranial nerve (glossopharyngeal) is involved in swallowing; damage explains the need for special swallowing techniques, directly addressing the client's concern. A avoids providing information. B is incorrect, as the ninth cranial nerve is not related to hearing. C assumes a speech pathology consult, which may not be relevant to swallowing issues caused by nerve damage.
Question 4 of 5
The nurse notes that a client with COPD demonstrates increased dyspnea in certain positions. Which position is most likely to lessen the client's dyspnea?
Correct Answer: B
Rationale: The client with chronic obstructive pulmonary disease has increased difficulty breathing when lying down. His respiratory effort is improved by standing or sitting upright or by having the bed in high Fowler's position. Answers A, C, and D do not alleviate the client's dyspnea; therefore they are incorrect.
Question 5 of 5
The client has a prolonged prothrombin time. What question is important to ask the client when interpreting this information?
Correct Answer: B
Rationale: Excessive alcohol consumption can impair liver function, prolonging prothrombin time by reducing clotting factor production, a key question to assess.