NCLEX-PN
NCLEX PN Practice Questions Questions
Extract:
Question 1 of 5
The registered nurse delegates actions related to the care of colostomies to the practical nurse. Which actions should the practical nurse question as being outside the licensed practical nurse's scope of practice? Select all that apply.
Correct Answer: A,D
Rationale: Assessment and initial education require nursing judgment, which is outside the LPN's scope. Other tasks are within their scope.
Question 2 of 5
The nurse is caring for a client admitted 3 days ago with bacterial pneumonia who has become short of breath, restless, and difficult to rouse. Which additional finding indicates to the nurse that the client may be developing sepsis?
Correct Answer: A
Rationale: Prolonged capillary refill time suggests poor perfusion, a sign of sepsis, requiring immediate intervention.
Question 3 of 5
The nurse is observing continuous cardiac monitoring for assigned clients. Which of the following cardiac rhythms would immediate follow-up?
Correct Answer: C
Rationale: Ventricular fibrillation (VF) is a lethal dyshythmia characterized by disorganized electrical activity in the heart ventricles. Because
of this erratic electrical activity, the heart muscles lose the ability to contract, resulting in loss of blood flow and pulse (ie, cardiac
arrest). Nurses who identify a client with VF should immediately check the pulse, start CPR, and prepare the client for defibrillation
Question 4 of 5
Which of the following indicates failure of a ventriculoperitoneal shunt?
Correct Answer: A
Rationale: Projectile vomiting is a sign of increased intracranial pressure due to ventriculoperitoneal shunt failure, indicating obstruction or malfunction.
Question 5 of 5
The nurse is caring for the assigned clients on a pediatric inpatient unit. Which client is the priority?
Correct Answer: A
Rationale: Sudden unilateral arm weakness in a sickle cell crisis may indicate a stroke, a life-threatening emergency requiring immediate attention.