NCLEX-PN
NCLEX PN Exam Practice Test Questions
Extract:
Question 1 of 5
While caring for a client with a pulmonary embolus, the nurse notes several petechiae on his chest and abdomen. Which action should the nurse take first?
Correct Answer: C
Rationale: Petechiae may indicate a coagulopathy or emboli-related complication, requiring prompt reporting to the physician for further evaluation. Recording and monitoring are secondary, and ice packs are inappropriate.
Question 2 of 5
The nurse is to apply an Ace wrap to the client's right lower leg. Which action should the nurse take to ensure that the dressing is not too tight?
Correct Answer: B
Rationale: Checking pedal pulses ensures the Ace wrap does not impair circulation. Removing hourly is impractical, Doppler is excessive, and leaving for 24 hours risks missing issues.
Question 3 of 5
The nurse is preparing medication for 4 clients on a respiratory medical-surgical unit. Which situation would prompt the nurse to clarify the prescribed treatment with the health care provider?
Correct Answer: A
Rationale: Acetylcysteine is used for mucus thinning, not bronchospasm, which requires bronchodilators. The other medications are appropriate for their respective conditions.
Question 4 of 5
There is a train wreck causing 46 casualties. The nurse is asking personnel on the floor to suggest clients who could be discharged to make room for casualties. Which client would be best for the LPN to suggest?
Correct Answer: B
Rationale: The client who had an open cholecystectomy two days ago is likely stable and closer to discharge compared to those with recent major surgeries or ongoing radiation, which require specialized care.
Question 5 of 5
The nurse is caring for a client who had a colostomy two days ago. Which comment the client makes indicates a readiness to learn about caring for the colostomy?
Correct Answer: B
Rationale: Asking about the bag's purpose shows curiosity and readiness to learn about colostomy care. Other comments reflect denial, frustration, or lack of engagement with care.