NCLEX-PN Practice Exam Question and Verified Answers

NCLEX-PN PRACTICE EXAM QUESTION AND VERIFIED ANSWERS Question...A 62 year old woman who lives alone tripped on a rug in her home and fractured her hip at the proximal end of the femur. Which predisposing factor should the PN identify that most likely contributed to the fracture? - Answer... osteoporosis resulting from declining hormone levels. Question... While caring for a client with trigeminal neuralgia the PN observes the client experience facial spasms. What action should the PN implement? - Answer... Notify the charge nurse of the finding Question...A client with cancer who has been receiving fentanyl (Duragesic) for several weeks reports to the PN that the medication is not effectively controlling the pain. Which intervention should the PN take? - Answer...Notify the RN or health care provider of the need for dose adjustment. Question...When turning an immobile bedfast client without assistance, which action by the PN best ensures client safety? - Answer...Put the bed rails up on the opposite side of the bed. Question... A mother is being discharged following the birth of her second child. The mother tells the PN that her first child dies at 6 weeks of age due to SIDS, and she fears that this infant will also develop SIDS. Which response is best for the PN to provide this mother? - Answer... The fear of losing another child to SIDS is very realistic. Have you thought about what you are going to do? Question... A client is admitted to the hospital after an injury in a motor vehicle collision and has the right knee in skeletal traction. The PN reviews the plan of care and identifies the client's priority nursing diagnosis is "potential for impairment of skin integrity related to immobility from traction." Which nursing intervention should the PN implement for this nursing diagnosis? - Answer... Provide back and skin care while maintaining the traction. Question... The PN is reinforcing discharge instructions for a 22-year old male client diagnosed with Beurger disease (thromboangitis obliterans). Which referral is most important for this client? - Answer... Smoking cessation program Question... Urinary catheterization is prescribed for a postoperative female client who has been unable to void for 8 hours. The PN inserts the catheter, but no urine is seen in the tubing. What action should the PN take next? - Answer... Leave the catheter in place and reattempt with another catheter. Question... During the admission process, the PN determines that a male client who is scheduled for surgery in the morning has a blood pressure of 160/85. He is drinking coffee and says his blood pressure has never been that high. The PN plans to retake the blood pressure in 30 minutes. This action indicates that the PN recognizes that the elevated blood pressure is likely due to which factor? - Answer... Preoperative anxiety Question... The PN is caring for a client with symptoms of paranoia and psychosis. Which intervention is most important for the PN to implement for the nursing diagnosis, "Impaired social interactions related to inability to trust?" - Answer... Greet the client by first name during each social interaction. Question... An adolescent female client with a diagnosis of anorexia nervosa wants to help serve dinner trays to other clients on a psychiatric unit. What action should the PN take? - Answer... Suggest another way for this client to participate in the unit's activities. Question... A client in a long-term care facility reports to the PN that he has not had a bowel movement in 2 days. Which intervention should the PN implement first? - Answer... Access the client's medical records to determine the client's normal bowel pattern. Question... What types of medications should the PN expect to administer to a client during an acute respiratory distress episode? - Answer... Bronchodilators and steroids