NCLEX-PN
NCLEX PN Practice Tests Questions
Extract:
Question 1 of 5
The orthopedic health care provider instructs a client with a fractured right femur, who has been non-weight bearing for the past 5 weeks, to progress to full-weight bearing on the right leg. Which advanced crutch gait that most closely resembles normal walking should the nurse reinforce when teaching the client?
Correct Answer: A
Rationale: The 2-point gait mimics normal walking, alternating crutch and opposite leg, suitable for full-weight bearing. 3-point is for non-weight bearing, 4-point is slower, and 5-point does not exist.
Question 2 of 5
A young woman has routine blood work done at her prenatal appointment. The results indicate that she has a hemoglobin level of 10 g/dL. The nurse explains to her that this result is:
Correct Answer: C
Rationale: A hemoglobin of 10 g/dL is low (normal in pregnancy: 11-12 g/dL), indicating possible anemia, requiring further evaluation.
Question 3 of 5
A client with aortic stenosis is scheduled for surgery in 2 weeks. The client reports episodes of angina and passing out twice at home. Which would be the best response by the nurse to explain the appropriate activity for this client at this time?
Correct Answer: A
Rationale: Strenuous activity risks syncope or ischemia in aortic stenosis, so avoidance is critical. Exercise despite angina is dangerous, short walks may still trigger symptoms, and no restrictions ignore risks.
Question 4 of 5
An adult has both an oil retention enema and a cleansing enema ordered. The nurse knows that this client is most likely to have which condition/ problem?
Correct Answer: D
Rationale: Oil retention enemas soften hardened stool, and cleansing enemas remove it, making this combination most appropriate for fecal impaction. Straining, melena, or ulcerative colitis are less likely to require both types of enemas.
Question 5 of 5
A 3-year-old child had a seizure two days ago when the child's temperature was 105°F. The child has had no previous seizures. Today, the parent and the child are in the physician's office. What should the nurse include when teaching the parent?
Correct Answer: B
Rationale: A febrile seizure at 105°F in a 3-year-old without prior seizures suggests a one-time event; ibuprofen for fevers above 101°F helps prevent recurrence, while epilepsy or immediate reporting is premature.