NCLEX-PN Practice Exam with 100% correct 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? correct answersAnswer... 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? correct answersAnswer... 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? correct answersAnswer...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? correct answersAnswer...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? correct answersAnswer... 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? correct answersAnswer... 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? correct answersAnswer... Smoking cessation program