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:
Thirty-minutes after the blood transfusion was started, the patient complains of urticaria in the chest, abdomen and both thighs.
Question 2 of 5
The PN will implement which nursing action as a priority?
Correct Answer: A
Rationale: Urticaria indicates a possible transfusion reaction, and the priority is to stop the infusion to prevent further complications.
Extract:
Question 3 of 5
The nurse is monitoring the fluid status of a 63-year-old woman receiving IV fluids following surgery. Which of the following symptoms would suggest to the nurse that the patient has fluid volume overload?
Correct Answer: B
Rationale: Fluid volume overload is characterized by symptoms such as bounding pulse, elevated blood pressure, respiratory crackles (due to pulmonary edema), distended neck veins, edema, headache, polyuria, diarrhea, and liver enlargement.
Choice B includes respiratory crackles and a bounding pulse, which are hallmark signs.
Choice A suggests dehydration, choice C could have other causes, and choice D shows normal CVP and unrelated nystagmus.
Question 4 of 5
The nurse is caring for a client with a history of pancreatitis. Which of the following dietary recommendations should the nurse provide?
Correct Answer: B
Rationale: A low-fat, high-protein diet supports pancreatic healing by minimizing pancreatic stimulation and providing nutrients for recovery. High-fat (
A) or high-sodium (
C) diets exacerbate pancreatitis, and low-protein (
D) hinders tissue repair.
Extract:
Nitroglycerin SL is prescribed for anginal pain.
Question 5 of 5
When teaching how to use nitroglycerin, the nurse tells the client to place 1 tablet under the tongue when pain occurs and to repeat the dose in 5 minutes if pain persists. The nurse should also tell the client to
Correct Answer: D
Rationale: Anginal pain, which can be anticipated during certain activities, may be prevented by dilating the coronary arteries immediately before engaging in activity, and an additional tablet post-attack can prevent recurrence.