NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
When monitoring a patient who is receiving a blood transfusion
Question 1 of 5
The nurse would analyze an elevated body temperature as indicating
Correct Answer: C
Rationale: Fever during transfusion may indicate a reaction, requiring immediate evaluation.
Extract:
Question 2 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.
Question 3 of 5
A 16 year-old boy is admitted for Ewing's sarcoma of the tibia. In discussing his care with the parents, the nurse understands that the initial treatment most often includes
Correct Answer: D
Rationale: radiation and chemotherapy. The initial treatment of choice for Ewing's sarcoma is a combination of radiation and chemotherapy.
Question 4 of 5
A nurse is caring for a 37-year-old woman with metastatic ovarian cancer admitted for nausea and vomiting. The physician orders total parenteral nutrition (TPN), a nutritional consult, and diet recall. Which of the following is the BEST indication that the patient's nutritional status has improved after 4 days?
Correct Answer: C
Rationale: Albumin levels are the best indicator of long-term nutritional status, reflecting protein stores. A level of 4.0 mg/dL (normal range 3.5–5.0 g/dL) suggests improved nutrition after TPN. Eating more (
A) is subjective, weight gain (
B) may reflect fluid retention, and low hemoglobin (
D) is unrelated to nutrition and more likely due to cancer or chemotherapy.
Extract:
The physician orders a paracentesis for a patient with ascites.
Question 5 of 5
Before the procedure, the nurse should instruct the patient to:
Correct Answer: A
Rationale: Emptying the bladder prevents injury during paracentesis needle insertion.