NCLEX-PN
NCLEX PN Practice Test Questions
Extract:
Question 1 of 5
A client is diagnosed as having secondary Cushing's syndrome. The nurse knows that the client has most likely been taking which medication?
Correct Answer: D
Rationale: Secondary Cushing's syndrome is often caused by long-term prednisone use, a corticosteroid mimicking cortisol excess. Estrogen, penicillin, or lovastatin do not cause this condition.
Question 2 of 5
The nurse is teaching a smoking cessation class and notices there are 2 pregnant women in the group. Which information is a priority for these women?
Correct Answer: B
Rationale: There is a relationship between smoking and low birth weight. Smoking reduces placental blood flow, contributing to fetal hypoxia and low birth weight.
Question 3 of 5
An adult is admitted with meningitis. During the acute phase of the illness, which measure should the nurse include in the nursing care plan to reduce the chance of seizures?
Correct Answer: D
Rationale: Darkening the room minimizes sensory stimulation, reducing seizure risk in meningitis, where neurological irritability is common.
Question 4 of 5
Which instruction should be given to a client taking Lugol's solution prior to a thyroidectomy?
Correct Answer: B
Rationale: Lugol's solution (iodine) should be taken with juice to mask its taste and reduce gastric irritation. Taking it at bedtime , reporting appetite changes , or avoiding sunshine are not specific to this medication.
Extract:
Laboratory results
Hemoglobin
Male: 14-18 g/dL
(140-180 g/L)
Female:
12-16 g/dL
(120-160 g/L)
5 g/dL
Question 5 of 5
The nurse is assessing a client who has a hemoglobin level of 5 g/dL (50 g/L). Which of the following findings would the nurse expect to obtain? Select all that apply.
Correct Answer: B,C,E
Rationale: Severe anemia (5 g/dL) reduces oxygen-carrying capacity, causing dyspnea (
B), pallor (
C), and tachycardia (E) as compensatory mechanisms. Crackles (
A) suggest fluid overload, and respiratory depression (
D) is unrelated.