NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The RN delegates the task of taking vital signs of all the clients on the medical-surgical unit to an unlicensed assistive personnel (UAP). Specific written and verbal instructions are given to not take a post-mastectomy client's blood pressure on the left arm. Later as the RN is making rounds, the nurse finds the blood pressure cuff on that client's left arm. Which of these statements is most immediately accurate?
Correct Answer: D
Rationale: The UAP is responsible for carrying out the activity correctly once directions have been clearly communicated especially if given verbally and in writing.
Question 2 of 5
The mother of a 3-year-old has been told that her child has a brain tumor. She initially begins to cry and accuses the physicians of lying. Which of the following stages is the mother most likely experiencing?
Correct Answer: C
Rationale: Anger is the stage of grief in which a person expresses anger about the diagnosis or situation. Acceptance occurs when the person comes to terms with the diagnosis. This situation isn't an example of a psychotic episode; it's a normal stage of the grieving process. Denial is the stage of grief when a person refuses to believe the truth.
Extract:
This is a 70-year-old male patient admitted due to hiccups, confusion, right arm & right leg weakness, facial droop and slurred speech. He has an Hx of CAD & had the 2nd CABG about 4 years ago.
Question 3 of 5
The nurse is aware that clinical manifestations differentiate right CHF from left CHF. Symptoms of right CVA would include:
Correct Answer: A
Rationale: Right-sided symptoms like jugular vein distension are unrelated to CVA; question likely meant right CHF.
Extract:
Question 4 of 5
A client received six units of regular insulin three hours ago. The nurse would be MOST concerned if which of the following was observed?
Correct Answer: C
Rationale: Regular insulin peaks in 2–4 hours, and the symptoms in choice C (diaphoresis and trembling) are classic signs of hypoglycemia, a potential complication at this time. Hypoglycemia requires immediate intervention, such as administering skim milk or glucose.
Choice A indicates hyperglycemia (Kussmaul respirations), and choices B and D are not specific to hypoglycemia.
Question 5 of 5
The nurse is caring for a client with a history of breast cancer who is receiving chemotherapy. Which of the following side effects should the nurse monitor for?
Correct Answer: C
Rationale: Nausea and vomiting are common chemotherapy side effects due to gastrointestinal irritation and require monitoring for dehydration or malnutrition. Increased appetite (
A) and energy (
D) are unlikely, and white blood cell count (
B) typically decreases (neutropenia).