NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
A woman who had a tuberculosis test three days ago reports to the nurse to have the test read. Which finding, if present, indicates a positive result and a need for referral and follow-up?
Correct Answer: B
Rationale: A raised (indurated) area >10 mm indicates a positive TB skin test, requiring follow-up for potential latent or active TB.
Question 2 of 5
The nurse is talking with a client who has type 1 diabetes mellitus and is receiving newly prescribed continuous subcutaneous insulin infusion therapy via an infusion pump. Which of the following statements by the client would indicate a correct understanding of the therapy?
Correct Answer: C
Rationale: Insulin pumps (
C) provide steady insulin delivery, improving glucose stability. Glucose monitoring (
A) and bolus doses (
B) are still needed, and infusion sets are changed every 2-3 days, not daily (
D).
Question 3 of 5
Which procedures are appropriate for the nurse to use when obtaining an adult client's blood for a laboratory test? Select all that apply.
Correct Answer: A,B,C
Rationale: Avoiding the mastectomy side (
A), limiting attempts to two (
B), and drawing proximal to an IV (
C) are correct. A 15-degree angle (
D) is for IVs, not phlebotomy, and capillary samples avoid the finger pad center (E).
Question 4 of 5
An adult has been taking captopril (Capoten) for hypertension. The client tells the nurse that he has a dry cough and sometimes gets dizzy when he stands up. What conclusions should the nurse make regarding this client?
Correct Answer: C
Rationale: Dry cough and orthostatic hypotension are common ACE inhibitor side effects; slow position changes mitigate dizziness, and cough may require evaluation.
Question 5 of 5
A non-stress test has been ordered for a pregnant client with diabetes mellitus. Non-stress testing is a part of the diabetic's prenatal care because:
Correct Answer: C
Rationale: Diabetes can impair placental vessel development, reducing oxygen and nutrient delivery to the fetus, necessitating non-stress testing to monitor fetal well-being. Fetal movement and lung maturity are assessed differently, and insulin's effect is indirect.