NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
A nurse finds the victim under the wreckage of a collapsed building. The individual is conscious, breathing satisfactorily, and lying on the back complaining of pain in the back and an inability to move the legs.
Question 1 of 5
The nurse should first:
Correct Answer: A
Rationale: Keeping the patient immobile and seeking help prevents further spinal cord injury.
Extract:
A 65-year-old man has been admitted to the hospital for spinal stenosis surgery.
Question 2 of 5
When does the discharge training and planning begin for this patient?
Correct Answer: B
Rationale: Discharge planning begins upon admission to ensure a comprehensive care plan.
Extract:
Question 3 of 5
A patient is prescribed digoxin for heart failure. Which of the following findings should prompt the nurse to withhold the medication and notify the healthcare provider?
Correct Answer: A
Rationale: Digoxin slows heart rate, and a rate below 60 beats per minute indicates potential toxicity or bradycardia, requiring withholding the dose and provider notification. Other findings are within normal limits or unrelated.
Extract:
A patient with lower back pain is tentatively diagnosed as having a herniated intervertebral disc.
Question 4 of 5
When assessing this patient's back pain, the nurse should ask:
Correct Answer: C
Rationale: Pain during bowel movement can indicate nerve compression from a herniated disc, relevant to the diagnosis.
Extract:
Question 5 of 5
A child at school trips on a shoe lace and falls. Her ankle swells immediately, and the child is in a great deal of pain. What is the best initial action for the nurse to take?
Correct Answer: C
Rationale: Elevation and ice reduce swelling and pain in acute ankle injuries, following RICE (rest, ice, compression, elevation) principles.