NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
A client with a history of bipolar disorder is prescribed lithium. Which laboratory value should the nurse monitor?
Correct Answer: B
Rationale: Serum lithium levels must be monitored to ensure therapeutic range (0.6–1.2 mEq/L) and prevent toxicity.
Question 2 of 5
Which assessment findings provide the nurse with the best indications that a client's tracheostomy needs suctioning? Select all that apply.
Correct Answer: C,E,F
Rationale: Noisy respirations, coughing up sputum, and a low pulse oximeter reading (87%) indicate airway obstruction or secretions that require suctioning. A slowed pulse rate, cool/moist skin, and elevated respiratory rate are not specific indicators for suctioning.
Question 3 of 5
The nurse is caring for the client who is angry about a new diagnosis of gonorrhea. The client informs the nurse, "I absolutely will not allow the release of this information to anyone." Which response by the nurse is most appropriate?
Correct Answer: A
Rationale: A. Being diagnosed with an STI can cause emotional distress. This response acknowledges the client's reaction and provides the opportunity to clarify the statement's meaning. B. Although gonorrhea is reportable, this response is a closed statement and does not allow the opportunity for the client to express feelings. C. The nurse is making an assumption about the client's spouse. D. Although this response does acknowledge the client's reaction, the last portion becomes judgmental and places the emphasis on the nurse's feelings.
Question 4 of 5
The nurse is assessing a client with suspected pulmonary edema. Which finding is most indicative?
Correct Answer: A
Rationale: Frothy, pink-tinged sputum is a classic sign of pulmonary edema due to fluid in the alveoli.
Question 5 of 5
After assessing the client, the nurse initiates the process for reporting the client's STI to the state health agency. Which client has the STI that the nurse is reporting?
Correct Answer: B
Rationale: A. This illustrates acne vulgaris, which is not an STI. B. This illustrates herpes. While herpes simplex may not necessarily be state reportable, it is an STI. By state law, the incidence of some STIs must be reported to the state. C. This illustrates a contact dermatitis; in this client it was caused by nail polish. D. This illustrates candidiasis or thrush. This is not reportable.