NCLEX-PN
NCLEX PN Practice Questions Questions
Extract:
Question 1 of 5
A nurse is discharging a client who is receiving lithium for treatment of a bipolar disorder. It is most important for the nurse to reinforce which instruction to the client?
Correct Answer: D
Rationale: Lithium can cause polyuria and polydipsia due to its effect on renal function. These symptoms may indicate lithium toxicity or diabetes insipidus, which require immediate medical attention.
Question 2 of 5
A 1-year-old child who goes to day care is recovering from an episode of otitis media. Which intervention is most important for the nurse to reinforce to the parents in order to prevent recurrence?
Correct Answer: D
Rationale: Parental smoking increases the risk of recurrent otitis media due to secondhand smoke exposure.
Question 3 of 5
A client with a fracture of the radius had a plaster cast applied 2 days ago. The client complains of constant pain and swelling of the fingers. The first action of the nurse should be
Correct Answer: C
Rationale: A deterioration in neurovascular status indicates the development of compartment syndrome (elevated tissue pressure within a confined area) which requires immediate pressure-reducing interventions.
Extract:
Laboratory results
Hematocrit
Male: 42%-52%)
(0.42-0.52)
Female: 37%-47%
(0.37-0.47) 45%
(0.45)
Hemoglobin
Male: 14.0-18.0 g/dL
(140-180 g/L)
Female: 12.0-16.0 g/dL
(120-160 g/L) 15 g/dL
(150 g/L)
INR
0.8-1.1 1.3
Platelets
150,000-400,000/mm3
(150-400 × 109/L) 295,000/mm3
(295 × 109/L)
Question 4 of 5
A client is scheduled for an elective laparoscopic prostatectomy in the morning. The practical nurse should notify the registered nurse about which of the following assessment data as soon as possible before surgery?
Correct Answer: D
Rationale: A temperature of 100.4 F with cough suggests a possible infection, which could contraindicate surgery due to increased risk of complications.
Extract:
Laboratory results
Cholesterol
<200 mg/dL
(5.2 mmol/L)
220 mg/dL
(5.7 mmol/L)
Question 5 of 5
The nurse is collecting data from a client during a routine physical examination. Which of the following findings would be most important to report to the health care provider?
Correct Answer: B
Rationale: Brownish skin thickening on the neck may indicate acanthosis nigricans, associated with insulin resistance or diabetes, requiring prompt reporting.