NCLEX PN® Free Practice Questions

Here are some free sample NCLEX PN® questions from the Board Vitals question bank.

Sample NCLEX PN® Questions

Question 1. Physiological Integrity – Physiologic Adaptation QID 27614

A client admitted to the floor 3 days ago after a bowel resection suddenly develops chest pain and shortness of breath. Assessment of the client reveals rales, BP 160/40, and severe tachycardia. The nurse’s first action should be to:

A. Apply O2 at 2L/minute via mask
B. Begin CPR
C. Place the client in high Fowler’s position
D. Administer a prescribed sedative

Answer: C. Place the client in high Fowler’s position.

Explanation:

The client during the post-operative period with a widening pulse pressure, shortness of breath, and rales may have a pulmonary emboli. The facilitate breathing, he should be placed in high Fowler’s position.

Reference: 1) Contemporary Practical/Vocational Nursing by Corrine R. Kurzen MEd MSN RN. 2011. LWW Wolters Kluwer. 2) Workbook for Fundamental Nursing Skills and Concepts (Lippincott’s Practical Nursing) by Barbara K Timby RNC MS. 2012, LWW Wolters Kluwer. 3) Health Promotion For Nurses: A Practical Guide by Carolyn Chambers Clark, Karen K. Paraska. 2012. 4) Physical Examination and Health Assessment, 6th Edition by Carolyn Jarvis. 2011. Saunders.

Question 2. Physiological Integrity – Reduction of Risk QID 26660

A client is shifted to the recovery unit after amputation of the left leg. Which of the following is the priority nursing action in the immediate postoperative period?

A. Monitor vital signs
B. Assess the proximal pulse at the amputated part
C. Keep a surgical tourniquet at the bedside
D. Administer IV fluids

Answer: C. Keep a surgical tourniquet at the bedside.

Explanation:

Hemorrhage is the most concerning primary immediate complication of amputation. Therefore, a surgical tourniquet is kept at the bedside in case of acute bleeding.

Reference: 1) Contemporary Practical/Vocational Nursing by Corrine R. Kurzen MEd MSN RN. 2011. LWW Wolters Kluwer. 2) Workbook for Fundamental Nursing Skills and Concepts (Lippincott’s Practical Nursing) by Barbara K Timby RNC MS. 2012, LWW Wolters Kluwer. 3) Health Promotion For Nurses: A Practical Guide by Carolyn Chambers Clark, Karen K. Paraska. 2012. 4) Physical Examination and Health Assessment, 6th Edition by Carolyn Jarvis. 2011. Saunders.

 

Board Vitals NCLEX PN® Question Bank has over 1,000 questions targeted to the NCLEX PN® Exam. Click here for a free trial.

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