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
A client is seen in the clinic and determined to have a hydatidiform mole. Which diagnostic test can confirm the diagnosis of a hydatidiform mole?
Correct Answer: A
Rationale: Ultrasound is the primary diagnostic tool for confirming a hydatidiform mole, showing a characteristic 'snowstorm' pattern. Elevated human chorionic gonadotropin supports the diagnosis but is not confirmatory alone.
Question 3 of 5
The nurse is working to prevent falls in a restraint-free environment. Which of the following is inappropriate for the nurse to delegate to assistive personnel?
Correct Answer: C
Rationale: Assessing safety needs requires nursing judgment, inappropriate for delegation to assistive personnel, unlike routine tasks like bed positioning.
Question 4 of 5
The nurse is giving instructions to the parents of a child with cystic fibrosis. The nurse would emphasize that pancreatic enzymes should be taken
Correct Answer: C
Rationale: Pancreatic enzymes should be taken with each meal and every snack to allow for digestion of all foods that are eaten.
Question 5 of 5
The nurse is performing an assessment on a child with severe airway obstruction. Which finding would the nurse anticipate?
Correct Answer: A
Rationale: Retractions in the intercostal tissues of the thorax. Severe airway obstruction causes extreme intercostal retractions due to increased respiratory effort.