NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
An adult had a thyroidectomy under local anesthesia and is now in the postanesthesia care unit. Which finding is of most concern to the nurse?
Correct Answer: B
Rationale: Involuntary hand clenching (Trousseau's sign) suggests hypocalcemia from parathyroid damage during thyroidectomy, a serious complication requiring immediate attention. Sore throat, upright position, or thirst are less urgent.
Question 2 of 5
The nurse is caring for a client with suspected acute rheumatic fever. Which of the following questions would be most important for the nurse to ask the client?
Correct Answer: D
Rationale: Recent streptococcal infection (
D) is the primary trigger for rheumatic fever, making it the most important question. Antibiotic compliance (
A), family history (
B), and fever (
C) are relevant but less critical.
Extract:
Discharge medications
Albuterol: 2 puffs every 4-6 hours as needed
Prednisone: 40 mg PO daily
Naproxen: 220 mg PO twice daily
Tiotropium: 1 capsule inhaled daily
Question 3 of 5
A client with a history of degenerative arthritis is being discharged home following exacerbation of chronic obstructive pulmonary disease. After reviewing the discharge medications, the nurse should reinforce which of the following topics with the client? Select all that apply.
Correct Answer: A,D,E
Rationale: Dry mouth (
A) is a side effect of COPD medications, black stools (
D) may indicate GI bleeding, and tiotropium capsules are inhaled, not swallowed (E). Ringing in ears (
B) is not expected, and albuterol should be shaken (
C).
Extract:
Question 4 of 5
The nurse is talking with a client who has a new prescription for misoprostol to prevent gastric ulcers. Which of the following statements by the client would require follow-up?
Correct Answer: C
Rationale: Taking misoprostol with antacids (
C) reduces its efficacy and requires follow-up. Taking with meals (
A), using contraception (
B), and reporting black stools (
D) are correct.
Question 5 of 5
The home health nurse is providing long-term care to several clients. Which are examples of inappropriately crossing professional boundaries? Select all that apply.
Correct Answer: A,D,E
Rationale: Accepting expensive gifts (
A), soliciting investments (
D), and socializing with alcohol (E) violate professional boundaries. Offering to pray (
B) is acceptable if client-initiated, and a sympathy card (
C) is appropriate.