NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
Which of the following indicates a hazard for a client on oxygen therapy?
Correct Answer: B
Rationale: Synthetic gowns can generate static electricity, posing a fire hazard with oxygen. The other options are safety measures that reduce fire risk. Reduction of Risk Potential
Question 2 of 5
The nurse is caring for a client with a history of diabetes mellitus who is experiencing diabetic ketoacidosis (DKA). Which of the following findings would the nurse expect?
Correct Answer: B
Rationale: DKA causes fruity breath odor due to ketone production from fat metabolism. Rapid, deep respirations (not slow,
A) compensate for acidosis, tachycardia/hypotension (not bradycardia,
C) occur, and hyperglycemia (not hypoglycemia,
D) is typical.
Question 3 of 5
The nurse is assessing a client with suspected pneumonia. Which of the following findings would support this diagnosis?
Correct Answer: B
Rationale: A productive cough with green sputum indicates a bacterial infection, common in pneumonia. Clear nasal discharge (
A) suggests a viral infection, abdominal pain (
C) is nonspecific, and a dry cough (
D) is less typical for bacterial pneumonia.
Question 4 of 5
A nurse is caring for a 37-year-old woman with metastatic ovarian cancer admitted for nausea and vomiting. The physician orders total parenteral nutrition (TPN), a nutritional consult, and diet recall. Which of the following is the BEST indication that the patient's nutritional status has improved after 4 days?
Correct Answer: C
Rationale: Albumin levels are the best indicator of long-term nutritional status, reflecting protein stores. A level of 4.0 mg/dL (normal range 3.5–5.0 g/dL) suggests improved nutrition after TPN. Eating more (
A) is subjective, weight gain (
B) may reflect fluid retention, and low hemoglobin (
D) is unrelated to nutrition and more likely due to cancer or chemotherapy.
Question 5 of 5
The mother of a child with a neural tube defect asks the nurse what she can do to decrease the chances of having another baby with a neural tube defect. What is the best response by the nurse?
Correct Answer: A
Rationale: The American Academy of Pediatrics recommends that all childbearing women increase folic acid from dietary sources and/or supplements. There is evidence that increased amounts of folic acid prevents neural tube defects.