NCLEX-PN
PN NCLEX Practice Exam Questions
Question 1 of 5
An adolescent client comes to the clinic 3 weeks after the birth of her first baby. She tells the nurse she is concerned because she has not returned to her pre-pregnant weight. Which action should the nurse perform first?
Correct Answer: C
Rationale: Encourage her to talk about her view of herself.
To an adolescent, body image is very important, and addressing this concern first facilitates further assessment.
Question 2 of 5
A client is admitted with a diagnosis of myocardial infarction (MI). The client is complaining of chest pain. The nurse knows that pain related to an MI is due to
Correct Answer: A
Rationale: Insufficient oxygenation of the cardiac muscle. Due to ischemia of the heart muscle, the client experiences pain. This happens because an MI can block or interfere with the normal cardiac circulation.
Question 3 of 5
The nurse is caring for a toddler with atopic dermatitis. The nurse should instruct the parents to
Correct Answer: D
Rationale: Wrap the child's hand in mittens or socks to prevent scratching. This prevents worsening of lesions and secondary infections.
Question 4 of 5
The nurse is collecting data from a client with primary adrenal insufficiency (Addison disease). Which of the following findings is consistent with the condition?
Correct Answer: A
Rationale: Bronze skin pigmentation (
A) is a hallmark of Addison disease due to increased ACTH stimulating melanocytes. Increased hair (
B) and supraclavicular fat pad (
D) are associated with Cushing syndrome, while striae (
C) are nonspecific but not typical of Addison disease.
Question 5 of 5
The nurse is caring for a client who has a hip fracture and is placed in Buck traction. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: B,C,D,E
Rationale: Monitoring for skin breakdown (
B), neurovascular checks (
C), neutral positioning (
D), and pain relief (E) are essential for Buck traction. Placing the client on the affected side (
A) is incorrect as it may disrupt traction.