NCLEX-PN Free Practice Questions
Question 1 of 5.
Extract:A patient with history of asthma presented himself to the outpatient clinic due to feeling of tightness on his chest, audible wheezing and mild shortness of breath. Upon arrival at the clinic his peak flow was at 480 liters/minute but in an hour of arrival, his peak flow has dropped to 200 liters/minute.
What should the nurse do first?
A. Send him ahead to see the physician ahead of the waiting patients.
B. Administer a dose of albuterol inhalation.
C. Administer oxygen at 6 L per nasal prong.
D. Repeat the peak flow reading in 30 minutes
Explanation: A significant drop in peak flow indicates worsening asthma. Administering albuterol inhalation is the first action to relieve bronchospasm.
Question 2 of 5.
The nurse is caring for an adult who is severely depressed. Which behavior by the client indicates improvement in his condition?
A. The client stays by himself and does not bother the other clients.
B. The client states, 'I know the answer to my problems now.'
C. The client gives the nurse a small book and says, 'Thank you for all your help.'
D. The client appears at breakfast with a clean shirt and well-groomed hair.
Explanation: Improved self-care, such as grooming and dressing, indicates reduced depressive symptoms and increased engagement in daily activities.
Question 3 of 5.
The nurse is caring for an older adult client who has been on bed rest for two weeks because she has had the flu. The nurse should carefully observe the client for which possible complications? Select all that apply.
A. Muscle atrophy
B. Joint contractures
C. Urinary retention
D. Constipation
E. Footdrop
F. Wound infection
Explanation: Prolonged bed rest increases risks of muscle atrophy, joint contractures, urinary retention, constipation, and footdrop due to immobility.
Question 4 of 5.
An adult who is receiving cancer chemotherapy asks the nurse if her fatigue has anything to do with the chemotherapy. What should the nurse include when responding to this client?
A. Chemotherapy lowers the number of white blood cells in the body causing fatigue.
B. The stress of undergoing chemotherapy is likely to cause fatigue.
C. Depression related to the diagnosis of cancer is a major contributor to fatigue.
D. Chemotherapy decreases the number of red blood cells and causes fatigue.
Explanation: Chemotherapy often causes anemia by reducing red blood cells, leading to fatigue, a common side effect.
Question 5 of 5.
An adult is admitted with arteriosclerosis obliterans. Which finding would the nurse most expect to see in this client?
A. Legs are swollen.
B. Blood pressure is 110/72.
C. Hands are painful when exposed to cold.
D. Legs are cool to the touch.
Explanation: Arteriosclerosis obliterans reduces arterial blood flow, causing cool extremities, especially in the legs. Swelling is more related to venous issues, cold-induced hand pain suggests Raynaud's, and BP is unrelated.