NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
A client with chronic heart failure calls the clinic to report a weight gain of 3 lb (1.4 kg) over the last 2 days. Which information is most important for the nurse to ask this client?
Correct Answer: D
Rationale: Symptoms like shortness of breath, coughing, or edema (
D) indicate fluid overload, a critical concern in heart failure. Diet (
A), fluid intake (
B), and medications (
C) are relevant but secondary.
Question 2 of 5
A child and his family were exposed to Mycobacterium tuberculosis about 2 months ago, to confirm the presence or absence of an infection, it is most important for all family members to have a
Correct Answer: D
Rationale: PPD intradermal test. The administration of the PPD intradermal test determines the presence of the infection with the Mycobacterium tuberculosis organism. It is effective at 3 to 6 weeks after the initial infection.
Question 3 of 5
The nurse is monitoring a client who had an esophagogastroduodenoscopy 2 hours ago. Which finding requires an immediate report to the registered nurse?
Correct Answer: D
Rationale: A temperature spike to 101.2 F (
D) suggests possible perforation or infection, requiring immediate reporting. BP drop (
A) is mild, absent gag reflex (
B) is expected, and sore throat (
C) is normal post-procedure.
Question 4 of 5
A client hospitalized with severe depression and suicidal ideation refuses to talk with the nurse. The nurse recognizes that the suicidal client has difficulty:
Correct Answer: A
Rationale: Clients with severe depression and suicidal ideation often struggle to express feelings of low self-worth , which contributes to their emotional withdrawal. Discussing remorse or dependence may be present but is less central. Expressing anger is more typical in other conditions like bipolar disorder.
Question 5 of 5
The nurse is caring for a client who had a portable water seal chest drainage system inserted today. Which observation indicates that the client's drainage system is working properly?
Correct Answer: A
Rationale: No bubbles in the water seal bottle indicates a stable system without air leaks, confirming proper function post-insertion.