NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
A 54-year-old client who is postmenopausal reports increasing episodes of urinary leakage. Which lifestyle practice is most important for the nurse to discuss with the client?
Correct Answer: D
Rationale: A. Caffeine can increase urinary frequency, but the loss of muscle tone contributes to urinary leakage. B. A regular voiding schedule improves bladder control, but beginning with an hourly voiding schedule is unnecessary and inconvenient. C. Decreasing intake of fluids can contribute to dehydration. D. Kegel exercises improve urinary incontinence by strengthening the pelvic floor muscles that support the bladder.
Question 2 of 5
Which assessment finding in a client with heart failure indicates fluid overload? Select all that apply.
Correct Answer: A,B,C,E
Rationale: Weight gain, crackles, jugular vein distention, and peripheral edema are signs of fluid overload in heart failure.
Question 3 of 5
A client with a history of chronic obstructive pulmonary disease (COPD) is admitted with an acute exacerbation. Which oxygen delivery method is most appropriate for this client?
Correct Answer: C
Rationale: A Venturi mask delivers precise oxygen concentrations, which is critical for COPD clients to avoid suppressing their hypoxic drive.
Question 4 of 5
The office nurse is caring for the client diagnosed with chlamydia and syphilis. Based on this diagnosis, which medication order would require the nurse's immediate review with the prescribing HCP?
Correct Answer: C
Rationale: A. Doxycycline (Vibramycin), a tetracycline antibiotic, is an appropriate drug for treating chlamydia. B. Azithromycin (Zithromax), a semisynthetic macrolide antibiotic, is an appropriate drug for treating chlamydia. C. Metronidazole (Flagyl) is an anti-infective against anaerobic organisms, an amoebicide, and an antiprotozoal agent. It is not indicated for either chlamydia or syphilis. Flagyl is used to treat bacterial vaginosis and trichomoniasis. Collaboration with the HCP is necessary to discuss and clarify the order. D. Penicillin G (Bicillin) is an appropriate drug for treating syphilis.
Question 5 of 5
Which action by the nurse is most appropriate while assessing the neurologic function of a client who has a freshly applied plaster cast to the lower extremity?
Correct Answer: A
Rationale: Asking the client to wiggle the toes assesses motor function, ensuring no nerve compression from the cast.