NCLEX-PN
NCLEX PN Exam Practice Test Questions
Extract:
Question 1 of 5
A newly admitted client describes symptoms of dizziness and feeling faint on standing. The client has a history of type 2 diabetes, coronary artery disease, and bipolar disorder. Which medications may be contributing to the client's symptoms? Select all that apply.
Correct Answer: C,D
Rationale: Metoprolol, a beta-blocker, can cause orthostatic hypotension, leading to dizziness on standing. Olanzapine, an antipsychotic, is associated with orthostatic hypotension as a side effect. A, B, and E are not commonly linked to orthostatic symptoms; atorvastatin manages cholesterol, metformin controls blood sugar, and omeprazole reduces stomach acid.
Question 2 of 5
The client has a prolonged prothrombin time. What question is important to ask the client when interpreting this information?
Correct Answer: B
Rationale: Excessive alcohol consumption can impair liver function, prolonging prothrombin time by reducing clotting factor production, a key question to assess.
Question 3 of 5
The nurse is caring for a 75-year-old client who is admitted to the hospital with pneumonia. What assessment finding is most consistent with the diagnosis of delirium?
Correct Answer: B
Rationale: Inattention and disorientation are hallmark signs of delirium, especially in elderly clients with pneumonia. Other findings suggest different conditions.
Question 4 of 5
A client is admitted to the labor and delivery unit in active labor. During examination, the nurse notes a papular lesion on the perineum. Which initial action is most appropriate?
Correct Answer: B
Rationale: Any lesion should be reported to the doctor. This can indicate a herpes lesion. Clients with open lesions related to herpes are delivered by Cesarean section because there is a possibility of transmission of the infection to the fetus with direct contact to lesions. It is not enough to document the finding, so answer A is incorrect. The physician must make the decision to perform a C-section, making answer C incorrect. It is not enough to continue primary care, so answer D is incorrect.
Question 5 of 5
The nurse caring for newborns observes for jaundice. Which type of jaundice is likely to be most serious?
Correct Answer: A
Rationale: Jaundice within the first 24 hours suggests pathological causes like hemolytic disease, requiring urgent evaluation. Later jaundice is often physiologic and less severe.