NCLEX-PN
NCLEX PN Practice Test Questions
Extract:
Question 1 of 5
A client admitted with glaucoma is being treated with miotic (pilocarpine) eye drops. Following administration of the medication, the nurse will note:
Correct Answer: D
Rationale: Miotics, such as pilocarpine, are administered to the client with glaucoma to cause pupillary constriction, thereby lowering intraocular pressure. Answer A is incorrect because miotics constrict the pupil. Answer B is incorrect because miotics do not diminish redness. Answer C is incorrect because miotics do not decrease edema of the cornea.
Question 2 of 5
The nurse is reviewing medical histories with several clients during a community health screening event. Which of the following client statements indicate a risk factor for cervical cancer? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Cervical cancer is strongly linked to HPV infection (E), which is transmitted through sexual activity, including with multiple partners (
A). Smoking (
B) increases risk by impairing immune response to HPV. Chlamydia (
D) is associated with chronic inflammation, increasing susceptibility. Condom use (
C) reduces but does not eliminate HPV risk and is not a direct risk factor.
Question 3 of 5
The nurse is preparing to administer the fourth dose of vancomycin IVPB to a client with infective endocarditis. Which intervention should the nurse anticipate?
Correct Answer: D
Rationale: Vancomycin requires therapeutic drug monitoring to ensure efficacy and prevent toxicity. Obtaining a serum trough level 15-30 minutes before the fourth dose (
D) is standard to guide dosing adjustments. A new IV line (
A) is unnecessary unless the current line is compromised. Antiemetics (
B) are not routinely needed. Infusion over 60 minutes (
C) is typical to prevent red man syndrome, not 30 minutes.
Question 4 of 5
The nurse is assessing a comatose client receiving gastric tube feedings. Which of the following assessments requires an immediate response from the nurse?
Correct Answer: A
Rationale: Decreased breath sounds in the right lower lobe may indicate aspiration or pneumonia, a serious complication requiring immediate intervention to ensure airway patency and prevent further respiratory compromise.
Question 5 of 5
Which statements involve acceptable use of an abbreviation, symbol, or dose designation in documentation? Select all that apply.
Correct Answer: A
Rationale: Metric units (
A), decimal doses (
C), and QID (E) are clear and acceptable. 'u' (
B) risks confusion with '0,' and 'pc' with 'c/o' (
D) are ambiguous, per safety standards.