NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
A woman with an internal fetal monitor experiences a variable deceleration.
Question 1 of 5
Your priority nursing intervention would be:
Correct Answer: A
Rationale: Variable decelerations indicate cord compression, and oxygen administration is the priority to support fetal oxygenation.
Extract:
The nurse is conducting an intake interview with a new patient.
Question 2 of 5
Which of the following statements by the nurse reflects assessment on spiritual beliefs?
Correct Answer: A
Rationale: Describing faith provides a broader, more open-ended assessment of spiritual beliefs.
Extract:
A child comes to the hospital after exposure to diphtheria and is given antitoxin.
Question 3 of 5
This type of immunity is known as:
Correct Answer: D
Rationale: In passive artificial immunity, an antibody made in another organism is injected into the infected or presumed infected person to provide immediate immunity.
Extract:
Question 4 of 5
The nurse is caring for a client with a chest tube connected to a water-seal drainage system. The nurse observes continuous bubbling in the water-seal chamber. The nurse should
Correct Answer: A
Rationale: Continuous bubbling in the water-seal chamber indicates an air leak in the system (e.g., loose connections or lung leak), requiring assessment to locate and correct it. Increasing suction (
B) won’t fix the leak, clamping (
C) is dangerous, and notifying the physician (
D) follows assessment.
Question 5 of 5
The nurse is assessing a 78-year-old woman. The woman says she has some bladder discomfort and urinary frequency. She also says, 'I mind the cold so, but I don't seem to shiver. I don't have much energy these days.' Her temperature is 98.9°F, pulse is 76, respirations are 20, and blood pressure is 140/88. Which findings are of most concern to the nurse and need to be further evaluated?
Correct Answer: C
Rationale: Bladder discomfort, frequency, and fatigue may indicate a urinary tract infection or other systemic issue, requiring evaluation. Vital signs are normal, and shivering/cold sensitivity is less urgent.