NCLEX-PN
NCLEX PN Practice Test Questions
Extract:
Question 1 of 5
A client with asthma was recently prescribed fluticasone/salmeterol. After the client has received instructions about this medication, which statement would require further teaching by the nurse?
Correct Answer: B
Rationale: Fluticasone/salmeterol is a maintenance medication for asthma, not a rescue inhaler for acute attacks. Statement B indicates a misunderstanding, requiring further teaching to clarify that a short-acting bronchodilator (e.g., albuterol) should be used for acute symptoms. Rinsing the mouth (
A) prevents oral thrush from the steroid component. Quitting smoking (
C) and receiving a vaccine (
D) are positive health behaviors not requiring correction.
Question 2 of 5
Which of these clients would be appropriate to assign to a practical nurse (PN)?
Correct Answer: B
Rationale: This is a stable client, with predictable outcome and care and minimal risk for complications.
Question 3 of 5
A client arrives at the clinic for a follow-up after an emergency department visit the night before. The client sustained an ulnar fracture, and a fiberglass cast was applied. Which of the following teachings related to cast care should the nurse reinforce? Select all that apply.
Correct Answer: A,B,C,E
Rationale: Hot areas or odors (
A) suggest infection, keeping the cast dry (
B) prevents skin breakdown, elevation (
C) reduces swelling, and soft objects (E) avoid injury. Numbness and tingling (
D) are not normal and may indicate nerve compression, requiring immediate reporting.
Question 4 of 5
A client diagnosed with trichomonal vaginal infection (trichomoniasis) is prescribed metronidazole. Which directions are essential for the nurse to reinforce? Select all that apply.
Correct Answer: A,D,E
Rationale: Metronidazole treatment for trichomoniasis requires specific instructions. Avoiding alcohol (
A) prevents a disulfiram-like reaction. Partner treatment (
D) is essential to prevent reinfection, as trichomoniasis is sexually transmitted. Urine discoloration (E) is a possible side effect to anticipate. Douching (
B) is not recommended, as it disrupts vaginal flora. Birth control pills (
C) do not prevent recurrence of this infection.
Question 5 of 5
An adult is prescribed lovastatin (Mevacor). The nurse should teach the client that while he is taking lovastatin (Mevacor), he must avoid:
Correct Answer: B
Rationale: Grapefruit juice inhibits CYP3A4, increasing lovastatin levels and risking toxicity, such as myopathy. Apples, aspirin, and ibuprofen do not have significant interactions with lovastatin.