NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
The practical nurse is caring for a client with newly diagnosed infective endocarditis. Which assessment finding by the nurse is the most concerning?
Correct Answer: A
Rationale: Pain and pallor in one foot suggest an embolic event, a serious complication of infective endocarditis that could lead to tissue ischemia or infarction, requiring urgent intervention. Knee pain, splinter hemorrhages, and mild fever are less immediately threatening.
Question 2 of 5
Which of the following observations indicates the possibility of a birth injury related to forceps delivery?
Correct Answer: A
Rationale: Asymmetry of the mouth may indicate facial nerve injury, a potential complication of forceps delivery due to pressure on the facial nerve.
Question 3 of 5
A client recently lost a child due to poisoning. The client tells the nurse, 'I don't want to make any new friends right now.' This is an example of which of the following indicators of stress?
Correct Answer: C
Rationale: Avoiding new social connections reflects a sociocultural stress response, altering relationships due to grief. The other indicators involve different stress manifestations. Psychosocial Integrity
Question 4 of 5
The nurse is caring for a client immediately after a vaginal birth. The nurse notes that the client’s uterus is midline and boggy. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: A boggy uterus indicates uterine atony, a major cause of postpartum hemorrhage. Fundal massage is the first action to stimulate contractions and expel clots. Adjusting oxytocin, checking vitals, or looking for blood are secondary after initiating massage.
Question 5 of 5
A wrong committed by one person against another (or against the property of another) that might result in a civil trial is:
Correct Answer: A
Rationale: A tort is a civil wrong, like negligence, that may lead to a civil trial. Crimes, including misdemeanors and felonies, are offenses against the public, often prosecuted criminally. Coordinated Care