NCLEX-PN
Free NCLEX-PN Practice Questions Questions
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 1 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 2 of 5
A nurse is caring for a patient who has recently been diagnosed with fibromyalgia and COPD. Which of the following tasks should the nurse delegate to a nursing assistant?
Correct Answer: A
Rationale: Nursing assistants should be competent on all transfers.
Question 3 of 5
The community health nurse has been caring for an adolescent with a history of morbid obesity, asthma, and hypertension, and is 22 weeks pregnant. Which of these lab reports need to be called to the teen’s provider within the next hour?
Correct Answer: B
Rationale: Magnesium 0.8 mEq/L and creatinine 3 mg/dl. The magnesium is low and the creatinine is high which indicates renal failure. With the history of hypertension, the findings exhibit the risk of preeclampsia. The client’s lab values are all abnormal except for the platelets. The client needs to be referred for immediate follow up with a provider.
Question 4 of 5
The nurse is discussing hemophilia with a group of parents. Which child is most likely to have classic hemophilia?
Correct Answer: A
Rationale: Classic hemophilia (
A) is X-linked recessive; males whose mothers are carriers have a 50% chance of inheriting it, as males inherit the X chromosome from their mother.
Extract:
Miss Helen Roller is admitted following a diagnosis of congestive heart failure. She tells you she is unable to wash herself without assistance because of shortness of breath. You notice she also has difficulty walking to the bathroom unassisted for the same reason.
Question 5 of 5
Which of the following nursing diagnosis is most important?
Correct Answer: B
Rationale: Activity intolerance due to shortness of breath is the most pressing issue affecting her daily functioning.