NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
Which of the following might be an appropriate nursing diagnosis for an epileptic client?
Correct Answer: B
Rationale: Epilepsy increases the risk of injury due to seizures, which can cause falls or trauma. The other diagnoses are not directly related to epilepsy. Reduction of Risk Potential
Question 2 of 5
A nurse is caring for a newborn who is 2 hours old. Which of the following findings should be reported to the healthcare provider?
Correct Answer: B
Rationale: Jaundice within 24 hours of birth is pathologic, indicating possible hemolytic disease or liver issues, requiring reporting. Heart rate, respiratory rate, and temperature are normal for a newborn.
Extract:
John H is a 66-year-old man with a history of heavy smoking presented himself to the ER due to difficulty breathing of 2 years duration. Mr. H was also diagnosed with effusion of the right lung. He is now scheduled for chest tube insertion.
Question 3 of 5
What is most likely occurring when persistent bubbling exist in the water seal chamber of a chest drainage device?
Correct Answer: D
Rationale: Persistent bubbling indicates an air leak, either in the system or from the lung.
Extract:
Question 4 of 5
A patient with cirrhosis is experiencing ascites. Which of the following interventions should the nurse implement?
Correct Answer: B
Rationale: Diuretics reduce fluid overload in ascites, as prescribed. High-sodium diets worsen fluid retention, fluid restriction is typically 1–1.5 liters, and supine positioning may impair breathing.
Question 5 of 5
A young adult who was in a motorcycle accident is brought to the emergency room with a closed head injury with suspected subdural hematoma. Although the client complains of a severe headache, he is alert and answers questions appropriately. The nurse would question which of the following orders?
Correct Answer: B
Rationale: Morphine sulfate, a narcotic analgesic, causes central nervous system (CNS) and respiratory depression. In patients with head injuries, it is contraindicated because it masks signs of increased intracranial pressure (ICP), such as changes in level of consciousness, which are critical for monitoring neurological status. Promethazine is an antiemetic, docusate is a stool softener, and ranitidine prevents stress ulcers, none of which pose the same risk in this context.