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 office nurse receives 4 telephone messages from clients. Which client does the nurse anticipate as the priority for treatment?
Correct Answer: C
Rationale: Headaches and gait disturbance in a 78-year-old on warfarin post-fall (
C) suggest a possible subdural hematoma, a life-threatening condition requiring immediate evaluation. Bull’s-eye rash (
A) suggests Lyme disease, vaginal discharge (
B) indicates yeast infection, and diarrhea (
D) is a colchicine side effect, all less urgent.
Question 3 of 5
The nurse reinforces teaching about self-management strategies for a client with urge incontinence. Which of the following statements indicate that teaching has been effective? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Weight loss (
A) reduces bladder pressure, oxybutynin’s dry mouth side effect (
B) is correct, Kegel exercises (
D) strengthen pelvic floor muscles, and scheduled voiding (E) prevents urgency. Caffeine (
C) irritates the bladder, worsening incontinence, indicating ineffective teaching.
Question 4 of 5
Which of these clients would be appropriate to assign to a practical nurse (PN)?
Correct Answer: B
Rationale: This is a stable client, with predictable outcome and care and minimal risk for complications.
Question 5 of 5
The doctor has ordered Nitrostat (nitroglycerine) sublingually for a client with angina. The client should be ordered to replenish his supply every:
Correct Answer: A
Rationale: Nitroglycerin loses potency after 6 months, requiring replacement to ensure efficacy for angina relief.