NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
A 45-year-old client with type I diabetes is in need of support services upon discharge from a skilled rehabilitation unit. Which of the following services is an example of a skilled support service?
Correct Answer: D
Rationale: Medication instruction is a skilled service requiring nursing expertise, unlike grocery shopping, cleaning, or transportation, which are unskilled tasks. Coordinated Care
Question 2 of 5
An elderly client with a history of stable chronic obstructive pulmonary disease, alcohol abuse, and cirrhosis has a serum theophylline level of 25.8 mcg/mL (143 umol/L). Which clinical manifestation associated with theophylline toxicity should worry the nurse most?
Correct Answer: D
Rationale: Theophylline has narrow therapeutic index and plasma concentrations >20 mcg/mL (111 umol/L) are associated with theophylline drug toxicity.
Toxicity can be acute or chronic. Conditions associated with chronic toxicity include advanced age (>60), drug interactions (eg, alcohol, macrolide and quinolone antibiotics), and liver disease. Acute toxicity is associated with intentional or accidental overdose. Symptoms of toxicity usually manifest as central nervous system stimulation (eg, headache, insomnia, seizures), gastrointestinal disturbances (eg, nausea, vomiting), and cardiac toxicity (eg, arrhythmia).
Question 3 of 5
Someone who has received a recent tattoo should be screened for:
Correct Answer: C
Rationale: Tattooing with non-sterile equipment risks transmission of hepatitis B or C, blood-borne pathogens. The other infections are not primarily associated with tattooing. Safety and Infection Control
Question 4 of 5
A client with terminal cancer becomes hypoxic and unresponsive. According to the client’s paperwork, the client’s sister is the legal medical power of attorney. Both the client’s spouse and sister are present. Which action by the nurse is appropriate at this time?
Correct Answer: B
Rationale: The sister, as the legal medical power of attorney, is authorized to make healthcare decisions when the client is unresponsive. Consulting the spouse is inappropriate, intubation may not align with the client’s wishes, and a living will is not required as the sister has decision-making authority.
Question 5 of 5
The nurse is caring for a client who had a laparoscopic cholecystectomy 3 days ago. The client's WBC count has increased over the past 2 days. Which assessment finding is most concerning?
Correct Answer: D
Rationale: A stiff abdomen with rebound tenderness suggests peritonitis, a life-threatening complication post-cholecystectomy, requiring immediate intervention. Shoulder pain is common due to referred pain, drainage and incision redness suggest localized infection, and a cough may indicate a respiratory issue, but peritonitis is most urgent.