NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
A 62-year-old client admitted to the telemetry unit after an acute myocardial infarction 3 days ago reports that the left calf is very tender and warm to the touch. Which nursing intervention is the priority?
Correct Answer: D
Rationale: Tenderness and warmth suggest deep vein thrombosis, so a neurovascular check (
D) is the priority to assess for complications. History (
A), ECG (
B), and vitals (
C) are secondary.
Question 2 of 5
An adult is admitted to the long-term care facility. She had a cerebrovascular accident and no longer needs acute care. The client has left side hemiplegia. Because of the type of deficit the client has, the nurse knows that this woman is at increased risk for which of the following?
Correct Answer: C
Rationale: Left hemiplegia from a right brain CVA increases risk for visual-spatial deficits, as the right hemisphere processes spatial awareness, unlike speech (left hemisphere), behavior, or hearing.
Question 3 of 5
An 86-year-old client with diabetes and gastroparesis has had repeated hospitalizations for aspiration pneumonia following a stroke and is now hospitalized with altered level of consciousness. Which nursing action is most appropriate to decrease the client's risk for developing aspiration pneumonia?
Correct Answer: B
Rationale: The side-lying position (
B) reduces aspiration risk by preventing reflux into the airway, especially in clients with altered consciousness. Assessing breath sounds (
A), oxygen titration (
C), and repositioning (
D) are supportive but less effective for prevention.
Extract:
Discharge medications
Albuterol: 2 puffs every 4-6 hours as needed
Prednisone: 40 mg PO daily
Naproxen: 220 mg PO twice daily
Tiotropium: 1 capsule inhaled daily
Question 4 of 5
A client with a history of degenerative arthritis is being discharged home following exacerbation of chronic obstructive pulmonary disease. After reviewing the discharge medications, the nurse should reinforce which of the following topics with the client? Select all that apply.
Correct Answer: A,D,E
Rationale: Dry mouth (
A) is a side effect of COPD medications, black stools (
D) may indicate GI bleeding, and tiotropium capsules are inhaled, not swallowed (E). Ringing in ears (
B) is not expected, and albuterol should be shaken (
C).
Extract:
Question 5 of 5
The nurse preparing an educational seminar on sexually transmitted infections for female college students should advise that which 2 infections are leading causes of pelvic inflammatory disease and infertility?
Correct Answer: B
Rationale: Gonorrhea and chlamydia (
B) are bacterial infections that commonly cause pelvic inflammatory disease and infertility if untreated. Other options are less associated with these outcomes.