NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
Why must the nurse be careful not to cut through or disrupt any tears, holes, bloodstains, or dirt present on the clothing of a client who has experienced trauma?
Correct Answer: C
Rationale: Trauma victims' clothing may contain forensic evidence critical for legal investigations, requiring preservation to maintain the chain of evidence custody. Physiological Adaptation
Extract:
A patient with lower back pain is tentatively diagnosed as having a herniated intervertebral disc.
Question 2 of 5
When assessing this patient's back pain, the nurse should ask:
Correct Answer: C
Rationale: Pain during bowel movement can indicate nerve compression from a herniated disc, relevant to the diagnosis.
Extract:
A patient has an anaphylactic reaction within the 1st half hour after an IV infusion containing Ampicillin is started.
Question 3 of 5
The nurse understands that the symptoms occurring during an anaphylactic reaction are the result of:
Correct Answer: C
Rationale: Anaphylaxis causes bronchoconstriction and vasodilation, leading to respiratory distress and hypotension.
Extract:
Question 4 of 5
The nurse assesses the development of a three-month-old boy in the well-baby clinic. Which of the following behaviors, if observed by the nurse, would be UNEXPECTED?
Correct Answer: B
Rationale: Grasping objects is expected around 6 months, not 3 months, making this behavior unexpected. Holding the head erect (
A), turning to sound (
C), and spontaneous smiling (
D) are typical for a 3-month-old.
Question 5 of 5
A 17-year-old client is admitted following a seizure. That evening, the nurse goes into the room and notes that the client has obviously been crying. The client says, 'Now that I have epilepsy, I am a freak.' What is the best initial response for the nurse to make?
Correct Answer: A
Rationale: Acknowledging the client's feelings validates their emotional distress, fostering therapeutic communication. Reassurance or minimization dismisses their concerns, hindering rapport.