NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
A client was admitted to the psychiatric unit after refusing to get out of bed. In the hospital the client talks to unseen people and voids on the floor. The nurse could best handle the problem of voiding on the floor by
Correct Answer: D
Rationale:
Toileting the client more frequently with supervision. This approach addresses the physical need in a client with altered thought processes.
Question 2 of 5
The nurse prepares to administer a cleansing enema to a client with constipation. Which interventions are appropriate? Select all that apply.
Correct Answer: A,B,C,E
Rationale: Lubricating the tube (
A), left lateral positioning (
B), retaining the enema (
C), and pausing for cramping (E) are correct for safe administration. Refrigerating the solution (
D) is incorrect; it should be at body temperature.
Question 3 of 5
The nurse monitoring a client with appendicitis will expect the client to give which description of the associated abdominal pain?
Correct Answer: C
Rationale: Appendicitis typically causes severe pain in the right lower quadrant (
C). Upper abdominal burning (
A) suggests gastritis, left-sided pain (
B) is atypical, and shoulder pain (
D) may indicate referred pain from other conditions.
Question 4 of 5
A client has developed diabetes insipidus after removal of a pituitary tumor. Which finding would the nurse expect?
Correct Answer: A
Rationale: Clients with diabetes insipidus have excessive urinary output due to a lack of antidiuretic hormone. Answers B, C, and D are not exhibited with diabetes insipidus, so they are incorrect.
Question 5 of 5
An adult had a thyroidectomy under local anesthesia and is now in the postanesthesia care unit. Which finding is of most concern to the nurse?
Correct Answer: B
Rationale: Involuntary hand clenching (Trousseau's sign) suggests hypocalcemia from parathyroid damage during thyroidectomy, a serious complication requiring immediate attention. Sore throat, upright position, or thirst are less urgent.