WorksheetsNCLEX-PN Domain 1 &2 Practice
Total questions: 25
Worksheet time: 13mins
A client with a nasogastric tube suddenly reports abdominal cramping and nausea. Which finding is most concerning?
Green drainage in the tubing
Absent bowel sounds
Tube secured to gown
Mild abdominal distention
Which situations place a client at risk for accidental injury?
Sensory deprivation
Polypharmacy
Adequate lighting
Unfamiliar environment
Consistent routine
Which postoperative finding suggests internal bleeding?
Pain rated 6/10
Decreasing blood pressure
Slight incisional swelling
Warm skin
Which actions reduce the risk of wound dehiscence?
Splinting the incision
Encouraging coughing without support
Managing constipation
Monitoring nutritional intake
Keeping incision moist
A client becomes suddenly confused after receiving opioid medication. What is the priority concern?
Pain relief effectiveness
Respiratory depression
Medication tolerance
Emotional response
Which findings increase risk for constipation-related complications?
Low fiber intake
Opioid use
Adequate hydration
Immobility
Regular bowel routine
Which lab trend is most concerning?
Gradual hemoglobin decrease
Sudden drop in hematocrit
Stable electrolytes
Slightly elevated glucose
Which factors increase risk for urinary tract injury?
Overdistended bladder
Frequent catheter manipulation
Early catheter removal
Strict intake/output monitoring
Securing catheter tubing
Which assessment best reflects adequate tissue oxygenation?
Pink nail beds
Oxygen saturation of 91%
Calm mental status
Respiratory rate of 20
Which situations require enhanced safety monitoring?
New medication regimen
Acute confusion
Stable chronic pain
Sensory impairment
Client sleeping
A client reports chest tightness after receiving IV fluids rapidly. What is the priority concern?
Anxiety
Fluid overload
Allergic reaction
Pain
Which actions prevent oxygen-related injury?
Posting 'No Smoking' signs
Using petroleum jelly on lips
Securing oxygen tubing
Monitoring skin behind ears
Turning oxygen off when not ordered
Which symptom indicates worsening GI perfusion?
Hunger
Abdominal pain after meals
Passing flatus
Soft abdomen
Which factors increase risk for pressure injury in the OR/post-op period?
Long surgical time
Hypotension
Adequate padding
Immobility
Normothermia
Which finding suggests early sepsis?
Bradycardia
Hypothermia
Fever and tachycardia
Stable vital signs
Which interventions reduce medication error risk?
Using two identifiers
Clarifying unclear orders
Rushing during med pass
Avoiding interruptions
Double-checking high-alert meds
A client with a wound drain has no output for 8 hours. What is the priority concern?
Healing is complete
Drain obstruction
Normal variation
Dehydration
Which conditions increase risk for burns or temperature injury?
Neuropathy
Sedation
Alert mental status
Heating pad use
Intact sensation
Which finding best reflects cardiac output compromise?
Bounding pulses
Decreased urine output
Warm extremities
Stable BP
Which actions reduce risk for postoperative ileus?
Early ambulation
Excess opioid use
Adequate hydration
Bowel sound monitoring
Prolonged bedrest
Which change indicates acute renal compromise?
Dark yellow urine
Urine output < 30 mL/hr
Increased thirst
Clear urine
Which factors increase risk for sensory overload?
Frequent staff interruptions
Loud alarms
Dim lighting
Multiple visitors
Quiet environment
Which finding requires immediate escalation?
Mild nausea
New onset unequal pupils
Fatigue
Hunger
Which actions reduce risk for tube dislodgement?
Securing tubing
Regular position checks
Leaving tubing loose
Educating the client
Frequent tugging during care
Which finding best indicates successful physiological adaptation?
Stable vital signs
Absence of pain
Alert mental status with adequate urine output
Client sleeping
