NCLEX-PN
NCLEX PN Exam Practice Test Questions
Question 1 of 5
The nurse is checking the client's central venous pressure. The nurse should place the zero of the manometer at the:
Correct Answer: A
Rationale: The phlebostatic axis is the reference point for accurate central venous pressure measurement, as it corresponds to the right atrium's level. The point of maximum impulse, Erb's point, and Tail of Spence are not used for this purpose, so answers B, C, and D are incorrect.
Question 2 of 5
A 15-year-old hospitalized with sarcoma is being treated with Adriamycin (Doxorubicin). Which action by the nurse is most important for the client taking Adriamycin (Doxorubicin)?
Correct Answer: C
Rationale: Adriamycin causes alopecia, so providing a wig addresses the psychosocial impact of hair loss, which is a priority for a teenager.
Question 3 of 5
All of the following women are seen in the physician's office. Which is at greatest risk for preterm labor?
Correct Answer: C
Rationale: Multiple gestation, such as twins, significantly increases preterm labor risk due to uterine overdistension, making the 21-year-old the highest risk.
Question 4 of 5
The nurse is attending an end-of-year school family picnic. Which situation needs an immediate intervention?
Correct Answer: B
Rationale: A 3-year-old alone in a wading pool is at immediate risk of drowning, requiring urgent intervention. A poses a choking risk but is less immediately life-threatening. C and D are age-appropriate activities with lower immediate risk.
Question 5 of 5
A client with a diagnosis of acoustic neuroma asks the nurse to explain what is wrong with his hearing. The nurse's response is based on the knowledge that an acoustic neuroma is:
Correct Answer: C
Rationale: An acoustic neuroma is a benign tumor of the eighth cranial (auditory) nerve that can affect hearing and balance and may cause compression of nearby structures, such as the cerebellum. Answer A is incorrect because acoustic neuromas are benign, not malignant. Answer B is incorrect because it involves the fifth cranial nerve, which is unrelated. Answer D refers to a glomus tumor, not an acoustic neuroma.