NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The physician has ordered crutches and specified that the client use a four-point gait. Which action by the client indicates an understanding of the four-point gait?
Correct Answer: D
Rationale: Four-point gait alternates each crutch and foot (left foot, right crutch, right foot, left crutch), providing maximum stability.
Question 2 of 5
An adult is being evaluated for a possible pituitary tumor. What test(s) does the nurse expect may be ordered for this client to confirm the diagnosis? Select all that apply.
Correct Answer: C,F
Rationale: MRI visualizes pituitary tumors, and visual field tests assess optic nerve compression from tumor growth. Urine, coagulation, x-rays, or nerve studies are less specific for diagnosis.
Extract:
Antoinette is 47-year-old woman with history of hypertension presented to ER with complain of sudden pain in her heel. Her lifestyle is sedentary and denies history of trauma or rigorous physical exertion. On admission assessment, spontaneous rupture of the Achilles tendon was diagnosed and treatment was initiated. Few weeks following her ER visit, Antoinette sought the help of a family physician for prescription of pain medication. Her physical assessment showed central obesity, thin musculature, and abdominal striae. Cushing's syndrome was suspected. Further endocrine assessment showed clinical features typical of Cushing's syndrome, which had been present for at least four years.
Question 3 of 5
The PN who performs the admission assessment on Antoinette would expect to observe which of the following?
Correct Answer: A
Rationale: Excessive hair growth in the woman's face and extremities is caused by excessive glucocorticoid hormones, a hallmark of Cushing's syndrome.
Extract:
Question 4 of 5
The nurse is planning the assignment of tasks for the day. Which factors would the nurse remain mindful of when delegating tasks? Select all that apply.
Correct Answer: A,E
Rationale: Delegation requires matching tasks to staff competencies based on client acuity and needs, ensuring safety and efficiency. Staff requests, room clustering, and discharges are secondary considerations that do not directly impact safe delegation.
Extract:
After a craniotomy for the removal of hematoma sustained in a fall, the patient is returned to the recovery room.
Question 5 of 5
The nurse places the child in a semi-fowler's position to
Correct Answer: A
Rationale: This position utilizes gravity to drain fluid from the head and prevent fluid accumulation, reducing the risk of increased intracranial pressure.