NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
A 13-year-old female patient went to the clinic and asked for contraceptive pills. Following her visit the nurse received a phone inquiry from the patient's mother regarding the visit.
Question 1 of 5
The nurse's most appropriate statement is:
Correct Answer: D
Rationale: Confidentiality protects the minor's privacy, and this response upholds that principle.
Extract:
Question 2 of 5
The nurse is teaching a client with a new ileostomy about stoma care. Which of the following statements by the client indicates understanding?
Correct Answer: A
Rationale: Cleaning the peristomal skin with mild soap and water prevents irritation and maintains skin integrity. Daily pouch changes (
B) are unnecessary (typically every 3–7 days), adhesive removers (
C) are for pouch removal, and bleeding (
D) is abnormal and requires evaluation.
Question 3 of 5
The nurse is assessing a client with suspected hyperthyroidism. Which of the following findings would the nurse expect?
Correct Answer: B
Rationale: Hyperthyroidism increases metabolism, causing heat intolerance and tremors due to excess thyroid hormone. Weight gain (
A), bradycardia (
C), and dry skin (
D) are characteristic of hypothyroidism, not hyperthyroidism.
Extract:
Prolonged expiration is common among COPDs and it suggests which of the following?
Question 4 of 5
Prolonged expiration is common among COPDs and it suggests which of the following?
Correct Answer: A
Rationale: Prolonged expiration in COPD results from narrowed lower airways, obstructing airflow.
Extract:
Question 5 of 5
The nurse is preparing to boost a client up in bed. She instructs the client to use the overbed trapeze. Which risk factor for pressure ulcer development is the nurse reducing by instructing the client to move in this manner?
Correct Answer: D
Rationale: Using a trapeze reduces shearing forces (opposing forces that cause layers of skin to move over each other, stretching and tearing capillaries and, eventually, resulting in necrosis), which increase the risk of pressure ulcer development. They can occur as clients slide down in bed or when they're pulled up in bed.
To reduce shearing forces, the nurse should instruct the client to use an overbed trapeze, place a draw sheet under the client to move the client up in bed, and keep the head of the bed no higher than 30 degrees. The risks of friction, impaired circulation, and localized pressure aren't decreased with trapeze use.