NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
When the nurse is determining the appropriate size of an oropharyngeal airway to insert, what part of a client's body should she measure?
Correct Answer: A
Rationale: Measuring from the corner of the mouth to the tragus of the ear ensures the oropharyngeal airway is the correct size to maintain an open airway without causing obstruction. Reduction of Risk Potential
Extract:
Congenital hip dysplasia is suspected when the assessment data indicates which of the following in the newborn?
Question 2 of 5
Presence of Ortalani's click
Correct Answer: A
Rationale: The presence of Ortalani's click when legs are abducted and asymmetry of gluteal folds are signs of congenital hip dysplasia.
Extract:
Question 3 of 5
A client was admitted with a diagnosis of pneumonia. When auscultating the client's breath sounds, the nurse hears inspiratory crackles in the right base. Temperature is 102.3 degrees Fahrenheit orally. What other finding would the nurse expect?
Correct Answer: C
Rationale: Mental confusion. Crackles suggest pneumonia, which is likely to be accompanied by mental confusion related to hypoxia.
Question 4 of 5
The nurse has taken the vital signs of a 95-year-old client: oral temperature = 98.6°F; pulse = 84 with a regular irregularity; respirations = 18; blood pressure = 140/86. Which nursing assessment(s) should be done first to obtain more data?
Correct Answer: A
Rationale: A regular irregularity in pulse suggests an arrhythmia, requiring an apical pulse for one minute to confirm and assess severity.
Extract:
Two hours post below knee amputation, the patient's dressing was saturated with serosanguinous secretions.
Question 5 of 5
In addition to notifying the surgeon, the priority nursing action would include:
Correct Answer: C
Rationale: Reinforcing the dressing helps control bleeding while awaiting further instructions from the surgeon, addressing the immediate issue of saturated dressings.