NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
An adult has a substance abuse problem. Which statement, if made by the client, indicates the best understanding of the problem?
Correct Answer: D
Rationale: Calling a support group during distress shows understanding of ongoing recovery needs, leveraging resources to maintain sobriety.
Question 2 of 5
The nurse is caring for a client who is scheduled for a cardiac stress test tomorrow. Prior to the stress test, the nurse should:
Correct Answer: B
Rationale: Caffeine can affect heart rate and test results, so it should be avoided before a stress test.
Question 3 of 5
A client recovering from a head injury is receiving medication and nutritional feedings by nasogastric tube. The doctor has ordered medication to prevent seizure activity. The medication is supplied by the pharmacy in tablet form. Before administering the medication, the nurse should:
Correct Answer: D
Rationale: For NG tube administration, liquid medication is preferred to ensure proper delivery and absorption. Crushing tablets may alter efficacy, and oral administration is inappropriate.
Question 4 of 5
An adult is admitted to the hospital with several days of vomiting and diarrhea. Admitting data show RBC level of 4.2 million/mm³ and hematocrit of 54%. What is the best interpretation of these data?
Correct Answer: B
Rationale: Elevated hematocrit (normal: 36-46% for females, 41-53% for males) with normal RBC suggests hemoconcentration from dehydration due to fluid loss from vomiting and diarrhea.
Question 5 of 5
An adult is receiving daily doses of hydrocortisone. Which comment by the client indicates a need for further instruction?
Correct Answer: D
Rationale: Hydrocortisone does not require high salt or potassium restriction; this suggests misunderstanding, possibly confusing with other conditions. Morning dosing, not stopping abruptly, and taking with food are correct.