NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
A client diagnosed with heart failure has an 8-hour urine output of 200 mL. What is the nurse's first action?
Correct Answer: C
Rationale: Low urine output (200 mL/8 hr) in heart failure suggests worsening fluid retention, requiring immediate reporting to the RN (
C). Auscultation (
A), fluids (
B), and IV diuretics (
D) require RN direction.
Question 2 of 5
The nurse is talking with a client who has a new prescription for misoprostol to prevent gastric ulcers. Which of the following statements by the client would require follow-up?
Correct Answer: C
Rationale: Taking misoprostol with antacids (
C) reduces its efficacy and requires follow-up. Taking with meals (
A), using contraception (
B), and reporting black stools (
D) are correct.
Question 3 of 5
The nurse in the emergency department is caring for a client who has facial lacerations, a suspected fracture of the arm, and multiple bruises at various stages of healing. The client's spouse is at the bedside and appears angry. Which of the following actions would be a priority for the nurse take?
Correct Answer: B
Rationale: Multiple bruises at various stages suggest possible abuse, so talking privately with the client (
B) is the priority to assess safety. Social services (
A) may follow, but immediate safety assessment comes first. Treating injuries (C,
D) is secondary.
Question 4 of 5
The nurse is talking with a group of parents about puberty. The nurse should include that the first sign of puberty in clients of the male sex is
Correct Answer: C
Rationale: Testicular enlargement (
C) is the first sign of puberty in males, occurring before height increase (
A), muscle mass gain (
B), or penile growth (
D).
Question 5 of 5
The home health nurse is providing long-term care to several clients. Which are examples of inappropriately crossing professional boundaries? Select all that apply.
Correct Answer: A,D,E
Rationale: Accepting expensive gifts (
A), soliciting investments (
D), and socializing with alcohol (E) violate professional boundaries. Offering to pray (
B) is acceptable if client-initiated, and a sympathy card (
C) is appropriate.