NCLEX-PN
NCLEX PN Exam Practice Test Questions
Extract:
Question 1 of 5
The wife of a man who is diagnosed with angina pectoris asks the nurse how she would know if her husband had a heart attack rather than angina. What should the nurse include in the reply?
Correct Answer: A
Rationale: Myocardial infarction causes severe chest pain unresponsive to nitroglycerin, unlike angina, which typically resolves. Epigastric pain, arm radiation, or activity triggers are less definitive.
Question 2 of 5
An obese 85-year-old client, who is an avid gardener and eats only home-grown fruits, legumes, and vegetables, is admitted to the hospital with pneumonia after having an upper respiratory tract infection for a week. Which factor puts the client at greatest risk for developing pneumonia?
Correct Answer: A
Rationale: Advanced age (85 years) is the greatest risk factor for pneumonia due to weakened immune response and comorbidities. Other factors are less significant.
Question 3 of 5
The nurse is planning a staff education program about intimate partner violence. Which of the following information should the nurse include? Select all that apply.
Correct Answer: C,D,E
Rationale: Jealousy/possessiveness, barriers to leaving (financial/fear), and increased violence during pregnancy are accurate. Violence is not limited to high-income families and occurs in same-sex partnerships.
Question 4 of 5
A client with a embolus has an order for a continuous infusion of heparin. The doctor has ordered 1,200 units per hour. If the solution contains 1,250 units in $250 \mathrm{~mL}$, the nurse should administer how many $\mathrm{mL}$ per hour?
Correct Answer: B
Rationale: Calculation: (1,200 units/hour ÷ 1,250 units) × 250 mL = 24 mL/hour. This ensures the correct heparin dose is delivered.
Question 5 of 5
The nurse is preparing to perform wound irrigation for a client who sustained a scalp laceration. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Irrigation should flow from the least to most contaminated area to prevent infection spread. Other options are incorrect techniques.