NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A client is taking hydrocodone (Vicodin) for chronic back pain. The client has required an increase in the dose and asks whether this means he is addicted to Vicodin. The nurse should base her reply on the knowledge that:
Correct Answer: A
Rationale:
Tolerance, requiring higher doses for the same effect, is common with long-term opioid use and does not equate to addiction. Addiction involves psychological dependence, not described here. Psychosocial Integrity
Extract:
A mother with cystic fibrosis child is receiving health teaching from the nurse regarding danger signs of her illness.
Question 2 of 5
The mother has best understood the teaching when she says:
Correct Answer: C
Rationale: Respiratory distress, indicated by tiredness, is a critical danger sign in cystic fibrosis.
Extract:
Question 3 of 5
An adult is being evaluated for a possible pituitary tumor. What test(s) does the nurse expect may be ordered for this client to confirm the diagnosis? Select all that apply.
Correct Answer: C,F
Rationale: MRI visualizes pituitary tumors, and visual field tests assess optic nerve compression from tumor growth. Urine, coagulation, x-rays, or nerve studies are less specific for diagnosis.
Question 4 of 5
The nurse is teaching a client with a new diagnosis of gout about dietary management. Which of the following foods should the client avoid?
Correct Answer: C
Rationale: Sardines are high in purines, which increase uric acid levels, triggering gout attacks. Spinach (
A), chicken (
B), and rice (
D) are low-purine and safe for gout management.
Question 5 of 5
The community health nurse has been caring for an adolescent with a history of morbid obesity, asthma, and hypertension, and is 22 weeks pregnant. Which of these lab reports need to be called to the teen’s provider within the next hour?
Correct Answer: B
Rationale: Magnesium 0.8 mEq/L and creatinine 3 mg/dl. The magnesium is low and the creatinine is high which indicates renal failure. With the history of hypertension, the findings exhibit the risk of preeclampsia. The client’s lab values are all abnormal except for the platelets. The client needs to be referred for immediate follow up with a provider.