NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
A client who had a total knee replacement is to be discharged today. Which statement that the client makes indicates a need for further instruction?
Correct Answer: D
Rationale:
Total knee replacement typically allows partial weight-bearing with assistance post-surgery; complete non-weight-bearing suggests misunderstanding of mobility instructions.
Question 2 of 5
Thirty-six hours after major surgery, a client has a temperature of 100°F. What is the most likely cause of the temperature elevation?
Correct Answer: B
Rationale: Atelectasis, due to reduced lung expansion post-surgery, is a common cause of low-grade fever within 24–48 hours. Dehydration, wound infection (typically later), or bladder infection are less likely without specific symptoms.
Question 3 of 5
The nurse is assisting in planning care for a client experiencing an acute attack of Ménière disease. Which action is a high priority to include in the plan of care?
Correct Answer: C
Rationale: A quiet environment (
C) reduces sensory overload, a priority in Ménière disease attacks. Fall precautions (
A), emesis basin (
B), and IV fluids (
D) are supportive but less critical.
Question 4 of 5
A client has been newly diagnosed with hypothyroidism and will take levothyroxine (Synthroid) 50 mcg/day by mouth. As part of the teaching plan, the nurse emphasizes that this medication:
Correct Answer: A
Rationale: Should be taken in the morning. Thyroid supplement should be taken in the morning to minimize the side effect of insomnia.
Question 5 of 5
The nurse inserts a small bore nasogastric (NG) tube and prepares to initiate enteral feedings for a hospitalized client with laryngeal cancer. Which action should the nurse take first?
Correct Answer: D
Rationale: Verifying NG tube placement with an x-ray (
D) is the first step to ensure safety before feedings or medications. Other actions follow confirmation.