NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
You were walking in the hallway of the long term facility, you found Jeffrey surrounded by friends and visitors. He was unresponsive, no pulse, and no breathing.
Question 1 of 5
Which one is the most appropriate action taken by the nurse?
Correct Answer: A
Rationale: Initiating CPR is the immediate action for an unresponsive patient with no pulse or breathing.
Extract:
When taking the BP of a patient who has AIDS the nurse must:
Question 2 of 5
Wear clean gloves.
Correct Answer: D
Rationale: Blood and body fluid precautions require that hands be washed before and after patient care to minimize the risk of transmission.
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
In the context of Mr. H's chest tubes, part of his routine assessment include:
Correct Answer: B
Rationale: Palpating for crepitus detects subcutaneous emphysema, a potential complication.
Extract:
Question 4 of 5
The nurse is caring for a client with a colostomy. The client reports that the colostomy bag is leaking. The nurse should
Correct Answer: C
Rationale: A leaking colostomy bag may indicate poor fit, skin irritation, or stoma changes, so assessing the stoma and peristomal skin is the first step to determine the cause and plan interventions. Taping (
A) is temporary, emptying/reapplying (
B) may not address the issue, and physician notification (
D) is premature.
Question 5 of 5
A client with newly diagnosed type I diabetes mellitus is being seen by the home health nurse. The physician orders include: 1,200-calorie ADA diet, 15 units of NPH insulin before breakfast, and check blood sugar qid. When the nurse visits the client at 5 PM, the nurse observes the man performing a blood sugar analysis. The result is 50 mg/dL. The nurse would expect the client to be
Correct Answer: A
Rationale: A blood sugar of 50 mg/dL indicates hypoglycemia (normal 70–110 mg/dL), causing symptoms like confusion, cold, clammy skin, and tachycardia (pulse 110). Hyperglycemia (
B) causes hot, dry skin and Kussmaul respirations, normal findings (
C) are unlikely, and fluid overload (
D) is unrelated.