NCLEX PN Prep Questions
Question 1 of 5.
A client calls the nurse with a complaint of sudden deep throbbing leg pain. What is the appropriate first action by the nurse?
A. Suggest isometric exercises
B. Maintain the client on bed rest
C. Ambulate for several minutes
D. Apply ice to the extremity
Explanation: Maintain the client on bed rest. The finding suggests deep vein thrombosis. The client must be maintained on bed rest and the provider notified immediately.
Question 2 of 5.
The nurse is observing a nursing assistant transfer a client from bed to chair. Which observation needs correction? Select all that apply.
A. The nursing assistant lowers the bed before starting the procedure.
B. The nursing assistant sits the client on the side of the bed before assisting the client to move.
C. The nursing assistant stands with feet close together and knees and back straight when helping the client to move.
D. The nursing assistant asks the client to grab the arm of the nursing assistant during the transfer.
E. The nursing assistant lifts the client up by tugging on the client's arms.
F. The nursing assistant assists the client to stand and pivot to get into the chair.
Explanation: The nursing assistant should stand with feet apart and knees bent to prevent injury, not grab the client's arm, and avoid tugging on the client's arms. Lowering the bed, sitting the client up, and assisting to pivot are correct.
Question 3 of 5.
A mother has brought her 9-month-old baby to the physician's office for a well baby visit. Based on knowledge of normal growth and development, the nurse would expect that the ability the child has acquired most recently is which of the following?
A. Sitting up unsupported
B. Rolling over without help
C. Holding head up without assistance
D. Smiling in response to a familiar face
Explanation: By 9 months, sitting unsupported is a recently acquired milestone, typically achieved around 6-8 months, following earlier skills like rolling over and head control.
Question 4 of 5.
An adult who has osteoarthritis tells the clinic nurse that her joints have been more painful lately and her head aches and her ears are 'making funny buzzing sounds.' What question should the nurse ask the client?
A. How long have you had arthritis?
B. Have you recently been exposed to loud noises?
C. What do you think is causing your joints to hurt more lately?
D. What medication have you been taking for your painful joints?
Explanation: New symptoms with increased joint pain suggest possible medication side effects (e.g., NSAIDs causing tinnitus), making medication history critical.
Question 5 of 5.
The nurse's neighbor has a total cholesterol of 450 mg/dL. The neighbor asks the nurse what this means. What should the nurse include when responding?
A. The cholesterol level is slightly high, but exercise and a low-fat diet should reduce it to normal.
B. The cholesterol level is below normal levels, but this is good.
C. The cholesterol level is high. The neighbor should talk with the physician about ways to lower it.
D. The cholesterol is within normal limits.
Explanation: A cholesterol level of 450 mg/dL is significantly elevated, increasing cardiovascular risk, requiring medical consultation.