NCLEX-PN
PN NCLEX Practice Test Questions
Extract:
Question 1 of 5
A paraplegic client is in the hospital to be treated for an electrolyte imbalance. Which level of care is the client currently receiving?
Correct Answer: B
Rationale: This client is receiving secondary prevention. The current focus of health care is on preventive care. Leavell and Clark (1965) described the three levels of preventive care as primary, secondary, and tertiary. Secondary preventive care focuses on early detection of disease, prompt intervention, and health maintenance for clients experiencing health problems.
Question 2 of 5
A couple asks the nurse about risks of several birth control methods. What is the most appropriate response by the nurse?
Correct Answer: B
Rationale: Oral contraceptives should not be used by smokers. The use of oral contraceptives in a woman who smokes increases her risk of cardiovascular problems, such as thromboembolic disorders.
Question 3 of 5
The nurse is caring for a client with bipolar I disorder who is experiencing an acute manic episode. Which of the following meals would be appropriate to offer the client?
Correct Answer: A
Rationale: A simple meal like sweet potato, kale, wheat roll, and water minimizes stimulation and is easy to eat during mania. Other meals are more complex or contain caffeine (coffee, tea), which can exacerbate symptoms.
Question 4 of 5
A client with a C3 spinal cord injury has a headache and nausea. The client’s blood pressure is 170/100 mm Hg. How should the nurse respond initially?
Correct Answer: D
Rationale: Headache, nausea, and hypertension in a C3 injury suggest autonomic dysreflexia, often triggered by bladder distension. Palpating the bladder identifies and addresses the cause. Medications and bed positioning are secondary.
Question 5 of 5
A client with advanced Alzheimer’s dementia is admitted to a skilled nursing facility for delirium. The health care provider prescribes ambulation with partial weight bearing. Which would be the most appropriate method for the nurse to use to transfer this client safely?
Correct Answer: D
Rationale: A 2-person stand and pivot with a gait belt and walker ensures safety for a client with dementia and partial weight bearing, accounting for confusion and weakness. One-person transfer risks falls, and lifts are excessive for ambulation.