NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
A client with a history of hypothyroidism is prescribed levothyroxine. Which instruction should the nurse include?
Correct Answer: A
Rationale: Taking levothyroxine on an empty stomach enhances absorption.
Question 2 of 5
The otherwise healthy client who is menopausal tells the nurse that she has been experiencing vaginal itching and burning and increased vaginal infections over the last 2 years. Which statement is the nurse's best response?
Correct Answer: D
Rationale: A. Vaginal infections do not predispose a female to vulvar cancer. B. Although vaginal itching may be related to a contact allergy, it is not the best response. C. Acidic secretions would have a low pH value; the pH increases during menopause. D. Decreased estrogen in menopausal women causes thinning of the vaginal mucosa and an increase in pH of vaginal secretions. As a result, the vagina is easily traumatized and more susceptible to infection.
Question 3 of 5
The nurse is caring for a client who has just been diagnosed with sinus bradycardia. Indicate with an X the area on the illustration where the heartbeat's electrical impulse is initiated.
Correct Answer: A
Rationale: The sinoatrial (S
A) node, located in the right atrium, initiates the heartbeat's electrical impulse. (Note: No illustration provided, but SA node is the standard answer.)
Question 4 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.
Question 5 of 5
A client with a history of chronic obstructive pulmonary disease (COPD) is admitted with an acute exacerbation. Which oxygen delivery method is most appropriate for this client?
Correct Answer: C
Rationale: A Venturi mask delivers precise oxygen concentrations, which is critical for COPD clients to avoid suppressing their hypoxic drive.