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
Which comment, if made by the client, indicates adjustment to the diagnosis of Type 1 diabetes mellitus?
Correct Answer: A
Rationale: Asking about injection ease reflects acceptance and engagement with self-management, indicating adjustment. Other comments show denial or secrecy.
Extract:
A 30-year-old pregnant mother, in her third trimester, asks the community nurse what position is best for her to prevent heartburn.
Question 3 of 5
The nurse correctly recommends the
Correct Answer: D
Rationale: Elevating the head of the bed post-meals prevents reflux, reducing heartburn.
Extract:
Question 4 of 5
With an alert of an internal disaster and the need for beds, the charge nurse is asked to list clients who are potential discharges within the next hour. Which client should the charge nurse select?
Correct Answer: A
Rationale: This client is the most stable and has a chronic condition. Tylenol intoxication requires at least 3 to 4 days of intensive observation for the risk of hepatic failure. The other clients would be considered unstable.
Question 5 of 5
Clients with mitral stenosis would likely manifest findings associated with congestion in the
Correct Answer: A
Rationale: Pulmonary circulation. Inefficient emptying of the left ventricle causes back-flow into the pulmonary vein, leading to congestion.