NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
A patient walked in an extremely busy emergency room. While waiting for his turn to been seen by the nurse, he suddenly became very aggressive and was demanding to see a doctor. He came forward to the nurse in a threatening stance.
Question 1 of 5
Which of the following actions made by the nurse promotes her safety?
Correct Answer: B
Rationale: Creating a safe distance prioritizes the nurse's safety in a threatening situation.
Extract:
Question 2 of 5
All of the following need to be done. Which should the nurse delegate to the certified nursing assistant?
Correct Answer: B
Rationale: Hygienic care is within a CNA's scope. Medication, catheterization, and dressing changes require nursing skills.
Question 3 of 5
The nurse is monitoring the fluid status of a 63-year-old woman receiving IV fluids following surgery. Which of the following symptoms would suggest to the nurse that the patient has fluid volume overload?
Correct Answer: B
Rationale: Fluid volume overload is characterized by symptoms such as bounding pulse, elevated blood pressure, respiratory crackles (due to pulmonary edema), distended neck veins, edema, headache, polyuria, diarrhea, and liver enlargement.
Choice B includes respiratory crackles and a bounding pulse, which are hallmark signs.
Choice A suggests dehydration, choice C could have other causes, and choice D shows normal CVP and unrelated nystagmus.
Extract:
Mr. Holland is a 55-year-old male patient who has a long history of ETOH abuse. He presently undergoes evaluation tests for suspected liver cirrhosis.
Question 4 of 5
The nurse understands that a liver biopsy may be contraindicated in certain situations. Therefore, it is important for the nurse to assess the patient for:
Correct Answer: C
Rationale: Prolonged prothrombin time indicates bleeding risk, a contraindication for liver biopsy.
Extract:
A child with a croup has difficulty of breathing.
Question 5 of 5
One of the following interventions, if performed by the nurse should be a priority and most important for the patient:
Correct Answer: A
Rationale: Oxygen administration is the priority to address respiratory distress in croup, ensuring adequate oxygenation.