NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
A client with Addison's disease will most likely exhibit which symptom?
Correct Answer: B
Rationale: A bronze pigmentation is a sign of Addison's disease. Answers A, C, and D are symptoms of Cushing's syndrome, making them incorrect.
Question 2 of 5
The nurse performs an assessment during a fluid exchange for the client who is 48 hours post-insertion of an abdominal Tenckhoff catheter for peritoneal dialysis. The nurse knows that the appearance of which of the following needs to be reported to the provider immediately?
Correct Answer: D
Rationale: Cloudy drainage is a sign of infection that can lead to peritonitis (inflammation of the peritoneum). The other options are expected side effects of peritoneal dialysis.
Question 3 of 5
A nurse aide is taking care of a 2 year-old child with Wilm's tumor. The nurse aide asks the nurse why there is a sign above the bed that says DO NOT PALPATE THE ABDOMEN? The best response by the nurse would be which of these statements?
Correct Answer: A
Rationale: Manipulation of the abdomen can lead to dissemination of cancer cells to nearby and distant areas. Bathing and turning the child should be done carefully.
Question 4 of 5
A 45-year-old client is in a rehabilitation unit receiving long-term care for injuries sustained in a motor vehicle accident. The client's spouse used to stay home but started working to replace the client's lost income. The nurse notices that the client has become withdrawn and increasingly frustrated by small inconveniences. Which statement is the most appropriate first response by the nurse?
Correct Answer: B
Rationale: Acknowledging observed behavior (
B) opens a therapeutic conversation and validates the client's feelings. Asking about the spouse's job (
A), assuming anger (
C), or suggesting a support group (
D) may not address the client's current emotional state.
Question 5 of 5
The nurse is caring for a client with tuberculosis who is on airborne isolation precautions. The nurse can delegate which tasks to experienced unlicensed assistive personnel? Select all that apply.
Correct Answer: C, D
Rationale: Posting signs and stocking equipment (
C) and reminding visitors about precautions (
D) are within UAP scope. Alerting departments (
A), explaining to the client (
B), and educating family (E) require nursing judgment.