NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
When writing in the client's chart, the nurse makes an error in documentation. The nurse should:
Correct Answer: D
Rationale: Drawing a single line through the error and initialing maintains transparency and legality. Erasing, blackening, or rewriting the sheet is improper.
Question 2 of 5
An 87-year-old client has been admitted to the hospital with signs and symptoms of a urinary tract infection along with agitation, confusion, and disorientation to time and place. What is the most important nursing action?
Correct Answer: C
Rationale: One-on-one supervision (
C) ensures safety for a confused, agitated client at risk for falls or harm. Fluids (
A), side rails (
B), and dim lights (
D) are secondary or inappropriate.
Question 3 of 5
The nurse is preparing to give an adult a subcutaneous injection of heparin. What should the nurse check prior to giving the medication?
Correct Answer: D
Rationale: Partial thromboplastin time (PTT) monitors heparin's anticoagulant effect, ensuring safe administration by assessing bleeding risk.
Question 4 of 5
The nurse is caring for a toddler with atopic dermatitis. The nurse should instruct the parents to
Correct Answer: D
Rationale: Wrap the child's hand in mittens or socks to prevent scratching. This prevents worsening of lesions and secondary infections.
Question 5 of 5
The morning weight for a client with emphysema indicates that the client has gained 5 pounds in less than a week, even though his oral intake has been modest. The client's weight gain may reflect which associated complication of COPD?
Correct Answer: B
Rationale: Rapid weight gain in a client with emphysema, despite modest intake, suggests fluid retention, which is commonly associated with cor pulmonale, a complication of COPD involving right heart failure due to lung disease. Answer A (polycythemia) is a blood disorder, not directly linked to weight gain. Answer C (left ventricular failure) is less likely in COPD compared to cor pulmonale. Answer D (compensated acidosis) does not cause weight gain.