NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
Which of the following observations indicates the possibility of a birth injury related to forceps delivery?
Correct Answer: A
Rationale: Asymmetry of the mouth may indicate facial nerve injury, a potential complication of forceps delivery due to pressure on the facial nerve.
Question 2 of 5
The nurse is caring for a 70-year-old client with diabetic retinopathy. Which of the following statements by the client would be a priority to follow up?
Correct Answer: A
Rationale: A 'curtain' over half the vision suggests retinal detachment, a medical emergency requiring immediate intervention to prevent permanent vision loss. Reading glasses are normal, cloudy vision or glare may indicate cataracts, and less bright colors are age-related, but none are as urgent.
Question 3 of 5
An adult is admitted to the hospital with several days of vomiting and diarrhea. Admitting data show RBC level of 4.2 million/mm³ and hematocrit of 54%. What is the best interpretation of these data?
Correct Answer: B
Rationale: Elevated hematocrit (normal: 36-46% for females, 41-53% for males) with normal RBC suggests hemoconcentration from dehydration due to fluid loss from vomiting and diarrhea.
Question 4 of 5
The nurse is teaching a client with metastatic bone disease about measures to prevent hypercalcemia. It would be important for the nurse to emphasize
Correct Answer: C
Rationale: The importance of walking as much as possible. Mobility prevents bone demineralization, reducing the risk of hypercalcemia.
Question 5 of 5
The nurse is caring for assigned clients. The nurse should recognize the client at highest risk for developing a pulmonary embolism is the client who
Correct Answer: C
Rationale: Recent cesarean birth increases pulmonary embolism risk due to immobility, surgical trauma, and hypercoagulability postpartum. Pneumonia, subdural hematoma, and hormone therapy carry lower or less immediate risks in this context.