NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
A client is admitted for removal of a goiter. Which nursing intervention should receive priority during the post-operative period?
Correct Answer: B
Rationale: A goiter is hyperplasia of the thyroid gland. Removal of a goiter can result in laryngeal spasms and airway occlusion. The other answers are lesser in priority.
Question 2 of 5
The nurse is caring for a client with suspected acute rheumatic fever. Which of the following questions would be most important for the nurse to ask the client?
Correct Answer: D
Rationale: Recent streptococcal infection (
D) is the primary trigger for rheumatic fever, making it the most important question. Antibiotic compliance (
A), family history (
B), and fever (
C) are relevant but less critical.
Question 3 of 5
An adult comes to the physician's office with a history of headache yesterday and today and pain in the back. The nurse observes a horizontal band of pustular rash on the back extending from the spine to midline in the front. The client describes it as very painful. What would the nurse expect to be prescribed for this client?
Correct Answer: A
Rationale: The painful, unilateral, dermatomal pustular rash suggests herpes zoster (shingles), treated with antivirals like acyclovir.
Question 4 of 5
The nurse assists with data collection during a screening event at a gastroenterology clinic. Which of the following client statements include risk factors for esophageal cancer? Select all that apply.
Correct Answer: A,C,D
Rationale: Smoking cigars (
A), heavy alcohol use (
C), and chronic acid reflux (
D) are established risk factors for esophageal cancer. Obesity (
B) is a weaker risk, and salted foods (E) are not directly linked.
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 5 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).