NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
The nurse wishes to decrease a client's use of denial and increase the client's expression of feelings. To do this the nurse should:
Correct Answer: B
Rationale: Positive reinforcement of expressed feelings encourages the client to continue sharing emotions, reducing reliance on denial. Direct confrontation or instruction may increase resistance. Psychosocial Integrity
Extract:
Immunity by antibody formation during the course of a disease is:
Question 2 of 5
Active natural immunity.
Correct Answer: A
Rationale: In active natural immunity, the infected person's immune system responds to the invading organism by producing antibodies specific for the invader.
Extract:
Question 3 of 5
After abdominal surgery, a client has a nasogastric tube attached to low suctioning. The client becomes nauseated, and the nurse observes a decrease in the flow of gastric secretions. Which of the following nursing interventions would be MOST appropriate?
Correct Answer: B
Rationale: Nausea and decreased NG tube output suggest possible obstruction. Aspirating with a syringe confirms tube placement and checks for blockages by testing the pH of aspirate (0–4 indicates gastric placement). Irrigation (
A) uses normal saline, not distilled water, and only after placement confirmation. Antiemetics (
C) or tube replacement (
D) do not address the cause.
Question 4 of 5
A client who is 12 hour post-op becomes confused and says: 'Giant sharks are swimming across the ceiling.' Which assessment is necessary to adequately identify the source of this client's behavior?
Correct Answer: C
Rationale: Pulse oximetry. A sudden change in mental status in any post-op client should trigger a nursing intervention directed toward respiratory evaluation. Pulse oximetry would be the initial assessment. If available, arterial blood gases would be better. Acute respiratory failure is the sudden inability of the respiratory system to maintain adequate gas exchange which may result in hypercapnia and/or hypoxemia. Clinical findings of hypoxemia include these findings which are listed in order of initial to later findings: restlessness, irritability, agitation, dyspnea, disorientation, confusion, delirium, hallucinations, and loss of consciousness.
Question 5 of 5
The licensed practical nurse is preparing to administer an injection of vitamin K to a newborn. The nurse should administer the injection in the:
Correct Answer: B
Rationale: The vastus lateralis is the preferred site for newborn IM injections due to its large muscle mass and safety. Other sites are less developed or risk nerve damage.