NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
The nurse reviews a prescription to insert an indwelling urinary catheter in a hospitalized client. Which rationale for indwelling urinary catheter insertion is most appropriate?
Correct Answer: A
Rationale: Acute urinary retention (
A) is a medical indication for catheterization. Confusion/incontinence (
B), fall risk (
C), and diuretics (
D) are not sufficient justifications.
Question 2 of 5
The nurse is caring for a client with Guillain-Barré syndrome after a recent gastrointestinal illness. Monitoring for which symptom is a nursing care priority in this client?
Correct Answer: C
Rationale: Inability to cough or lift the head (
C) indicates respiratory muscle weakness, a life-threatening complication in Guillain-Barré syndrome, making it the priority.
Question 3 of 5
The nurse is monitoring a client who is in active labor with a cervical dilation of 6 cm. Which finding requires intervention by the nurse?
Correct Answer: A
Rationale: Contraction duration of 95 seconds (
A) is too long and may reduce fetal oxygenation, requiring intervention. Frequency (
B), intensity (
C), and resting tone (
D) are within normal limits.
Question 4 of 5
The nurse is preparing to administer several medications through a client's feeding tube. None of the medications are extended release. Which of the following actions should the nurse implement? Select all that apply.
Correct Answer: B, C, D
Rationale: Crushing separately (
B) prevents interactions, liquid forms (
C) are preferred, and flushing (
D) ensures patency. Combining all medications (
A) or mixing with formula (E) can cause clogs or interactions.
Question 5 of 5
Which statement by a parent would alert the nurse to assess for iron deficiency anemia in a 14 month-old child?
Correct Answer: B
Rationale: My child doesn't like many fruits and vegetables, but she really loves her milk. Excessive milk intake can displace iron-rich foods, leading to iron deficiency anemia.