NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
A client with coronary artery disease is being seen in the clinic for a follow-up examination. During medication reconciliation, the nurse identifies which reported medication as requiring further investigation?
Correct Answer: C
Rationale: Naproxen (
C), an NSAID, increases cardiovascular risk and bleeding, requiring investigation in coronary artery disease. Isosorbide (
A), atorvastatin (
B), and fish oil (
D) are appropriate.
Question 2 of 5
The school nurse is conducting an educational session for middle school teachers that is designed to heighten awareness of school bullying. The nurse recognizes that further instruction is needed when one of the teachers makes which comment?
Correct Answer: A
Rationale: Bullying is not a normal part of development (
A) and requires intervention. Vulnerability of disabled children (
B), underreporting (
C), and verbal aggression (
D) are accurate.
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
An 86-year-old client with diabetes and gastroparesis has had repeated hospitalizations for aspiration pneumonia following a stroke and is now hospitalized with altered level of consciousness. Which nursing action is most appropriate to decrease the client's risk for developing aspiration pneumonia?
Correct Answer: B
Rationale: The side-lying position (
B) reduces aspiration risk by preventing reflux into the airway, especially in clients with altered consciousness. Assessing breath sounds (
A), oxygen titration (
C), and repositioning (
D) are supportive but less effective for prevention.
Question 5 of 5
While admitting a client to an acute-care psychiatric unit, the nurse asks about substance abuse based on knowledge that:
Correct Answer: B
Rationale: The failure to address substance abuse among clients with psychiatric disorders interferes with treatment effectiveness and contributes to relapse. Misdiagnosis of a psychiatric disorder, suboptimal pharmacological treatment, neglect of appropriate interventions, or an inappropriate referral might also occur.