NCLEX-PN
Free PN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
A child who has recently been diagnosed with cystic fibrosis (CF) is being assessed by a pediatric clinic nurse. Which finding of this disease would the nurse not expect to see at this time?
Correct Answer: C
Rationale: Moist, productive cough. Option C is a later sign. Noisy respirations and a dry non-productive cough are commonly the first of the respiratory signs to appear in a newly diagnosed client with CF. The other options are the earliest findings. CF is an inherited (genetic) condition affecting the cells that produce mucus, sweat, saliva and digestive juices. Normally, these secretions are thin and slippery, but in CF, a defective gene causes the secretions to become thick and sticky. Instead of acting as a lubricant, the secretions plug up tubes, ducts and passageways, especially in the pancreas and lungs. Respiratory failure is the most dangerous consequence of CF.
Question 2 of 5
A patient with major depressive disorder is prescribed fluoxetine (Prozac). Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Fluoxetine’s full effect takes 4–6 weeks, and patients must continue it to maintain benefits. Bedtime dosing is not standard, grapefruit juice is irrelevant, and stopping early risks relapse.
Question 3 of 5
Which of the following is the primary force in sex education in a child's life?
Correct Answer: C
Rationale: Parents are the primary influence on a child's sex education, providing foundational values and information. Other sources like peers and media are influential but secondary. Health Promotion and Maintenance
Question 4 of 5
The nurse is planning care for a client with increased intracranial pressure. The best position for this client is
Correct Answer: C
Rationale: Semi-Fowlers. Maintaining the head of the bed at 15-30 degrees reduces cerebral venous congestion, helping to manage increased intracranial pressure.
Question 5 of 5
As a client progresses through pregnancy, she develops constipation. What is the primary cause of this problem during pregnancy?
Correct Answer: D
Rationale: During pregnancy, hormonal changes and mechanical pressure reduce motility in the small intestine, enhancing water absorption and promoting constipation. Although decreased appetite, inadequate fluid intake, and prolonged gastric emptying may contribute to constipation, they aren't the primary cause.