NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
A client with acquired immunodeficiency syndrome is admitted for treatment of wasting syndrome. Which of the following dietary modifications can be used to compensate for the limited absorptive capability of the intestinal tract?
Correct Answer: D
Rationale: Small, frequent meals are easier to digest and absorb, compensating for the limited absorptive capacity in wasting syndrome. Cooking foods thoroughly reduces infection risk but doesn't aid absorption. Yogurt and buttermilk may not be tolerated, and forcing fluids addresses hydration, not absorption.
Question 2 of 5
The nurse is caring for a client who is recovering from a cerebrovascular accident and is partially paralyzed on the right side. How should the nurse position the chair when getting the client out of bed?
Correct Answer: C
Rationale: Placing the chair on the left (unaffected) side facing the foot allows the client to pivot using their stronger side, facilitating safe transfer. Right-side placement or incorrect orientation hinders mobility.
Question 3 of 5
The practical nurse is reinforcing discharge teaching to a client seen for treatment of a second episode of acute gout. Which instructions should be included to prevent future exacerbations? Select all that apply.
Correct Answer: A,D,E
Rationale: Healthy weight (
A), hydration (
D), and limiting alcohol (E) reduce uric acid levels and gout risk. Diet sodas (
B) are not directly linked, and avoiding all protein (
C) is unnecessary.
Question 4 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 5 of 5
While assisting a client with AM care, the nurse notes small elevated skin lesions less than $0.5 \mathrm{cm}$ in diameter over the client's back. The nurse should describe the lesions as:
Correct Answer: D
Rationale: Papules are small, elevated skin lesions less than 0.5 cm in diameter, matching the description provided.