NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
An elderly female patient sustained a fractured hip from a fall accident while taking her shower. She was brought by the EMS to the hospital and was admitted to orthopedic unit. She was placed on buck's traction while waiting for hip replacement.
Question 1 of 5
Which of the following nursing interventions should receive priority?
Correct Answer: B
Rationale: Hourly neurovascular assessments are critical to detect complications like impaired circulation or nerve damage in the affected leg, especially with traction.
Extract:
Question 2 of 5
A woman is admitted to the labor and delivery unit in a sickle cell crisis. Which of the following nursing actions is the HIGHEST priority?
Correct Answer: C
Rationale: Adequate hydration is the highest priority in sickle cell crisis to reduce blood viscosity, promote circulation, and prevent further sickling of red blood cells, which can exacerbate vaso-occlusive complications. Oxygen (
A) is secondary unless hypoxia is present, positioning (
B) is less critical, and antibiotics (
D) are not indicated without infection.
Question 3 of 5
The nurse is assessing a client with suspected dehydration. Which of the following findings would support this diagnosis?
Correct Answer: B
Rationale: Dehydration causes tachycardia and hypotension due to reduced blood volume. Moist mucous membranes (
A) and clear urine (
C) indicate hydration, and weight gain (
C) suggests fluid retention, not dehydration.
Extract:
After a patient with multiple fractures of the left femur is admitted to the hospital for surgery, the patient demonstrates cyanosis, tachycardia, dyspnea, and restlessness.
Question 4 of 5
Initially the nurse should:
Correct Answer: A
Rationale: Symptoms suggest fat embolism syndrome, and oxygen administration is the priority to address hypoxia.
Extract:
Question 5 of 5
A practical nurse (PN) from the pediatric unit is assigned to work in a critical care unit. Which client assignment would be appropriate?
Correct Answer: D
Rationale: This client is the most stable with a predictable outcome.