NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Question 1 of 5
The community health nurse has been caring for an adolescent with a history of morbid obesity, asthma, and hypertension, and is 22 weeks pregnant. Which of these lab reports need to be called to the teen’s provider within the next hour?
Correct Answer: B
Rationale: Magnesium 0.8 mEq/L and creatinine 3 mg/dl. The magnesium is low and the creatinine is high which indicates renal failure. With the history of hypertension, the findings exhibit the risk of preeclampsia. The client’s lab values are all abnormal except for the platelets. The client needs to be referred for immediate follow up with a provider.
Question 2 of 5
An adult who has Bell's palsy says to the nurse, 'Will I always look this weird?' How should the nurse reply?
Correct Answer: B
Rationale: Bell's palsy often resolves completely within weeks to months, so reassuring the client of potential full recovery is accurate and supportive.
Question 3 of 5
Ashley and her boyfriend Chris, both 19 years old, are transported to the Emergency Department after being involved in a motorcycle accident. Chris is badly hurt, but Ashley has no apparent injuries, though she appears confused and has trouble focusing on what is going on around her. She complains of dizziness and nausea. Her pulse is rapid, and she is hyperventilating. The nurse should assess Ashley's level of anxiety as:
Correct Answer: C
Rationale: Ashley's symptoms, including confusion, dizziness, nausea, rapid pulse, and hyperventilation, indicate severe anxiety, characterized by somatic symptoms and impaired problem-solving. Mild or moderate anxiety would present with less intense symptoms, and panic would involve loss of reality. Psychosocial Integrity
Question 4 of 5
An adult is admitted for a neurological workup and is scheduled for a spinal tap. When preparing the client for the procedure, the nurse should position the client in which position?
Correct Answer: B
Rationale: The lateral position with knees to chest maximizes spinal flexion, opening vertebral spaces for safe lumbar puncture needle insertion.
Question 5 of 5
The physician has ordered thiamine 100 mg IM for a client with chronic alcoholism. The primary reason for giving thiamine is:
Correct Answer: C
Rationale: Thiamine is given to treat or prevent neurological symptoms, such as Wernicke's encephalopathy, caused by thiamine deficiency in chronic alcoholism.