NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
An 80-year-old client is prescribed codeine for a severe cough. The home health nurse is reinforcing instructions on how to prevent the common adverse effects associated with codeine. Which client statements indicate an understanding of how to prevent them? Select all that apply.
Correct Answer: B,D,E
Rationale: Drinking water (
B) prevents constipation, sitting before standing (
D) avoids orthostatic hypotension, and taking with food (E) reduces nausea. Sunscreen (
A) and decaf coffee (
C) are unrelated to codeine effects.
Question 2 of 5
The charge nurse in a long-term memory care facility is making assignments for the Alzheimer unit. Which tasks may be delegated to experienced unlicensed assistive personnel? Select all that apply.
Correct Answer: A,D,E
Rationale: Bathing/hair care (
A), placing bed alarms (
D), and reporting swallowing issues (E) are within UAP scope. Evaluating hazards (
B) and monitoring behavior changes (
C) require nursing judgment.
Question 3 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.
Question 4 of 5
The mother is concerned that her 6-year-old child is eating dirt every day. The nurse is most concerned about which of the following?
Correct Answer: B
Rationale: Pica, such as eating dirt, raises concern for lead poisoning, especially in children, as contaminated soil may contain lead, posing neurological risks.
Question 5 of 5
The nurse is talking with a client who is scheduled for cardiac catheterization. Which of the following findings would be essential to follow up? Select all that apply.
Correct Answer: B,D,E
Rationale: Allergy to contrast (
B), recent metformin use (
D), and elevated creatinine (E) increase risks during cardiac catheterization (anaphylaxis, lactic acidosis, and renal injury). CRP (
A) and PR interval (
C) are less urgent.