NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
With an alert of an internal disaster and the need for beds, the charge nurse is asked to list clients who are potential discharges within the next hour. Which client should the charge nurse select?
Correct Answer: A
Rationale: This client is the most stable and has a chronic condition. Tylenol intoxication requires at least 3 to 4 days of intensive observation for the risk of hepatic failure. The other clients would be considered unstable.
Extract:
On the day of admission of a 55-year-old male patient came in with a diagnosis of acute MI
Question 2 of 5
The nurse has satisfactorily assisted the patient in prioritizing his concern when she discusses which of the following with the patient?
Correct Answer: C
Rationale: Medication and diet are critical to managing acute MI, preventing further cardiac events, and promoting recovery.
Extract:
Question 3 of 5
The nurse is caring for a client who is receiving total parenteral nutrition (TPN) (hyperalimentation and lipids). What is the priority nursing action on every 8 hour shift?
Correct Answer: C
Rationale: Because of the high dextrose and protein content in parenteral nutrition, the nurse should assess the urine at least every 8 hours.
Question 4 of 5
After sustaining a closed head injury and numerous lacerations and abrasions to the face and neck, a five-year-old child is admitted to the emergency room. The client is unconscious and has minimal response to noxious stimuli. Which of the following assessments, if observed by the nurse three hours after admission, should be reported to the physician?
Correct Answer: B
Rationale: Clear fluid draining from the ear suggests cerebrospinal fluid (CSF) leakage, indicating a rupture of the meninges, which poses a risk of meningitis or other complications in a head injury. This must be reported immediately. Eyelid edema (
A) and minor bleeding (
C) are less urgent, and withdrawal to pain (
D) is consistent with the initial assessment.
Question 5 of 5
The first postpartal bleeding noted by the mother after delivery is:
Correct Answer: A
Rationale: Lochia rubra is the initial postpartal bleeding, consisting of bright red blood and clots in the first few days after delivery.