NCLEX-PN
NCLEX PN Practice Test Questions
Extract:
Question 1 of 5
While caring for a woman who delivered a healthy term infant six hours ago, the nurse notes that the fundus is soft, 2 cm above the umbilicus, and off to the left. The lochia is red. The nurse suspects that the client has which problem?
Correct Answer: C
Rationale: A soft, displaced fundus suggests urinary retention, causing bladder pressure on the uterus. Normal involution shows a firm, midline fundus; fragments or lacerations present differently.
Question 2 of 5
The nurse is caring for a client with anorexia nervosa. Which of the following findings would be consistent with the condition? Select all that apply.
Correct Answer: B,D,E,F
Rationale: Anorexia nervosa is characterized by severe weight loss and malnutrition, leading to specific clinical findings. Amenorrhea (
B) results from hormonal imbalances due to low body fat. Lanugo (
D), fine downy hair, develops as a compensatory mechanism for heat loss. Hypokalemia (E) occurs due to starvation or purging behaviors. A BMI of 16 kg/m² (F) indicates severe underweight status, consistent with anorexia. Heat intolerance (
A) is more typical of hyperthyroidism, and avoiding physical activity (
C) is incorrect as clients often engage in excessive exercise.
Question 3 of 5
Assessment of a client with a history of stroke reveals that the client understands and follows commands but answers questions with incorrect word choices. The nurse documents the presence of which communication deficit?
Correct Answer: A
Rationale: Aphasia (
A) is a language disorder causing difficulty with word choice or expression, common in stroke affecting language centers. The client’s ability to follow commands but use incorrect words suggests expressive aphasia. Apraxia (
B) affects motor planning, dysarthria (
C) impairs speech articulation, and dysphagia (
D) involves swallowing difficulties, none of which match the described deficit.
Question 4 of 5
A client is to be discharged on enoxaparin (Lovenox) for the next two days. Which comment by the client indicates a need for further instruction?
Correct Answer: B
Rationale: Enoxaparin is injected subcutaneously in the abdomen, not the thigh, indicating a need for further teaching.
Question 5 of 5
A client arrives at the clinic for a follow-up after an emergency department visit the night before. The client sustained an ulnar fracture, and a fiberglass cast was applied. Which of the following teachings related to cast care should the nurse reinforce? Select all that apply.
Correct Answer: A,B,C,E
Rationale: Hot areas or odors (
A) suggest infection, keeping the cast dry (
B) prevents skin breakdown, elevation (
C) reduces swelling, and soft objects (E) avoid injury. Numbness and tingling (
D) are not normal and may indicate nerve compression, requiring immediate reporting.