NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Question 1 of 5
Which of the following clients is at highest risk for developing Sarcordosis?
Correct Answer: B
Rationale: Sarcoidosis is most common in African-Americans, particularly women of childbearing age, making the pregnant 30-year-old African-American the highest risk.
Question 2 of 5
The nurse has a client with knee surgery who is receiving patient-controlled analgesia (PCA) of meperidine (Demerol). Which assessment finding would be a priority due to the use of this device and medication?
Correct Answer: C
Rationale: The patient is in danger of respiratory depression due to narcotic administration; therefore, this would be a priority assessment. Answer A does not relate to the PCA, so it is incorrect. Answer B is not a priority, making it wrong. Pain relief in answer D is important, but not as important as airway, so it is incorrect.
Question 3 of 5
A nurse is participating in an obstetrical emergency simulation in which the health care provider announces shoulder dystocia. Which of the following interventions should the assisting nurse implement?
Correct Answer: C,E
Rationale: Shoulder dystocia requires urgent interventions like the McRoberts maneuver (flexing legs back,
C) and suprapubic pressure (
C) to dislodge the fetal shoulder. Additional assistance (E) is critical. Fundal pressure (
A) can worsen impaction. Documentation (
B) is secondary to immediate action. Forceps (
D) are not typically used for shoulder dystocia.
Question 4 of 5
The clinic nurse is planning to assess the visual acuity of a 6-year-old. Which method is the best way to assess visual acuity in this child?
Correct Answer: B
Rationale: The tumbling E chart (
B) is age-appropriate for a 6-year-old, who may not know letters. Allen cards (
A) are for younger children, Snellen at 10 ft (
C) is non-standard, and Ishihara (
D) tests color vision.
Extract:
Laboratory reference ranges
Platelets
150,000–400,000/mm3
(150–400 × 109/L)
Question 5 of 5
A client is being discharged after having a stent placed in the left anterior descending coronary artery. The client is prescribed clopidogrel. Which client data obtained by the nurse would be concerning in relation to this new medication?
Correct Answer: D,E
Rationale: Ginkgo biloba (
D) and peptic ulcer disease (E) increase bleeding risk with clopidogrel, requiring caution. Blood pressure (
A), heart rate (
B), and platelet count (
C) are within normal limits.