NCLEX-PN
NCLEX PN Exam Practice Test Questions
Extract:
Question 1 of 5
There is a train wreck causing 46 casualties. The nurse is asking personnel on the floor to suggest clients who could be discharged to make room for casualties. Which client would be best for the LPN to suggest?
Correct Answer: B
Rationale: The client who had an open cholecystectomy two days ago is likely stable and closer to discharge compared to those with recent major surgeries or ongoing radiation, which require specialized care.
Question 2 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.
Question 3 of 5
The client recently admitted to the assisted living center has impaired vision related to primary open-angle glaucoma. Select the graphic that best illustrates the effects of glaucoma on the client's vision.
Correct Answer: B
Rationale: Glaucoma causes peripheral vision loss (tunnel vision), best depicted by a graphic showing a narrowed visual field. Specific graphic not provided.
Question 4 of 5
The nurse is caring for a school-aged client recently diagnosed with attention deficit hyperactivity disorder. The nurse should recognize that the client is at risk for experiencing
Correct Answer: C
Rationale: Children with ADHD often face challenges with academic performance and social interactions, increasing the risk of low self-esteem. A is not typically associated with ADHD. B and D are more relevant to psychotic disorders, not ADHD.
Question 5 of 5
The nurse is caring for an adult who is admitted with severe nausea, vomiting, and diarrhea. During the last eight hours, the client has had 1000 mL of IV fluids and 100 mL of fluid from ice chips. The client has vomited a total of 600 mL and had four large diarrheal stools. The urine output for the last eight hours is 350 mL. The best interpretation of these data is that the client:
Correct Answer: C
Rationale: Significant fluid losses from vomiting and diarrhea exceed intake, and low urine output indicates dehydration risk.