NCLEX-PN
NCLEX PN Exam Practice Test Questions
Extract:
Question 1 of 5
A nurse is assisting with preventive health screenings at a community health event. Which of the following client statements should the nurse recognize as a warning sign of cancer? Select all that apply.
Correct Answer: C,D,E
Rationale: A breast lump, an asymmetrical/irregular mole, and black stools are potential cancer signs (breast cancer, melanoma, gastrointestinal cancer). Seasonal cough and occasional heartburn are less concerning.
Question 2 of 5
A 38-year-old client who has mitral stenosis is hospitalized for a valve replacement. Which condition is the client most likely to report having had earlier in life?
Correct Answer: C
Rationale: Mitral stenosis is commonly a sequel of rheumatic fever, which damages heart valves. Meningitis, syphilis, and rubella are not typically associated with mitral valve pathology.
Question 3 of 5
The LPN on a medical unit observes a coworker taking diazepam ordered for a client. What should the nurse do initially?
Correct Answer: C
Rationale: Observing for unsafe behavior assesses immediate risk to patients, allowing appropriate reporting if impairment is confirmed.
Question 4 of 5
The nurse is auscultating an elderly bedridden client's breath sounds and hears crackles. What is the best interpretation of this finding?
Correct Answer: C
Rationale: Crackles in a bedridden elderly client suggest fluid in the lungs or atelectasis, which deep breathing can help clear. It's not normal, not immediately life-threatening, and oxygen is premature without further assessment.
Question 5 of 5
A mother telephones the clinic and says 'I am worried because my breast-fed 1 month-old infant has soft, yellow stools after each feeding.' The nurse's best response would be which of these?
Correct Answer: A
Rationale: In breast-fed infants, stools are frequent and yellow to golden, and vary from soft to thick liquid in consistency. No change in feedings is indicated.