NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
Which client should the nurse call first?"
Correct Answer: C
Rationale: Itching in a new cast may indicate skin irritation or an allergic reaction, requiring prompt assessment to prevent complications. Stiffness in a fracture or unresolved fibromyalgia pain are less urgent.
Question 2 of 5
The client is admitted with left-sided congestive heart failure. In assessing the client for edema, the nurse should check the:
Correct Answer: B
Rationale: The neck veins should be assessed for distension in the client with congestive heart failure. Edema of the feet and hands does not indicate central circulatory overload, so answers A and C are incorrect. Edema of the sacrum is an indication of right-sided congestive heart failure, so answer D is incorrect.
Question 3 of 5
The nurse is caring for a client who is scheduled for surgery in 2 hours and is reporting anxiety and shortness of breath. The client has a heart rate of 110/min and respiratory rate of 24/min. Which of the following actions would be a priority for the nurse to take?
Correct Answer: B
Rationale: Placing the client in Fowler or high Fowler position improves lung expansion and oxygenation, addressing shortness of breath and tachycardia caused by anxiety or potential respiratory distress. Lorazepam requires a prescription, bronchodilators are not indicated without wheezing, and reassurance alone does not address physical symptoms.
Question 4 of 5
Rehabilitation services begin:
Correct Answer: A
Rationale: Rehabilitation starts upon entry into the healthcare system to maximize recovery from the outset. Waiting for stabilization or discharge delays optimal intervention. Health Promotion and Maintenance
Question 5 of 5
A 62 year-old female is being seen on a home visit by a nurse. The patient reports she has been taking Premarin for years. Which of the following would indicate an over-dosage?
Correct Answer: A
Rationale: Edema in the lower extremities may indicate a Premarin (over-dosage).