NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
A client with a history of congestive heart failure is prescribed furosemide (Lasix). Which instruction should the nurse include?
Correct Answer: A
Rationale: Furosemide causes potassium loss; eating potassium-rich foods prevents hypokalemia.
Question 2 of 5
A client with type 2 diabetes mellitus reports feeling shaky and sweaty. The nurse checks the blood glucose level, which is 55 mg/dL. What is the nurse's priority action?
Correct Answer: B
Rationale: A blood glucose of 55 mg/dL indicates hypoglycemia; 15 g of a fast-acting carbohydrate (e.g., juice) is the priority to raise glucose levels.
Question 3 of 5
The married couple tells the nurse they have been unsuccessful at achieving a pregnancy. What should be the nurse's initial question when they ask if they should begin testing for infertility?
Correct Answer: D
Rationale: A. Using tobacco products and drinking alcohol are risk factors for infertility, but this is not the initial question. B. Advancing age is a risk factor for infertility, but this is not the initial question. C. A reproductive tract infection is a risk factor for infertility, but this is not the initial question. D. The definition of infertility is the inability to achieve a pregnancy after 1 year of regular intercourse without contraception. If the couple has not been attempting to achieve a pregnancy for that length of time, then there is no need for infertility testing. The other questions address risk factors for infertility, but those questions would be inconsequential if the criterion in option 4 were not met.
Question 4 of 5
The 45-year-old diagnosed with HIV presents to the clinic requesting to receive herpes zoster vaccine live. Which statement by the nurse is accurate concerning administration of zoster vaccine live to this client?
Correct Answer: B
Rationale: A. Zoster vaccine live (Zostavax) is indicated for clients starting at age 55; the client is 45. B. Since the client is immunocompromised from HIV infection, the live vaccine would be contraindicated. C. Zostavax is not given to children. D. Zostavax is used in the prevention of shingles, not chicken pox. Shingles occurs in individuals who already have had chicken pox. The virus associated with chicken pox lies dormant inside the nerve cell and can be reactivated later in life.
Question 5 of 5
A client with pneumonia is receiving IV antibiotics. Which assessment finding suggests the client is responding to treatment?
Correct Answer: A
Rationale: A decreased white blood cell count indicates the infection is resolving, showing a response to antibiotics.