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NCLEX PN Practice Test Questions

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Question 1 of 5

An adult who has cholecystitis reports clay-colored stools and moderate jaundice. The nurse knows that which is the best explanation for the presence of clay-colored stools and jaundice?

Correct Answer: D

Rationale: Clay-colored stools and jaundice result from a common bile duct obstruction, preventing bile flow to the intestines and causing bilirubin buildup in the blood. The gallbladder stores, not produces, bile, and pancreatic or gallbladder issues are less directly related.

Question 2 of 5

The client complains of frequent insomnia affecting her ability to rest well. Which of the following factors or lifestyle choices in her assessment history most likely contributes to her inability to sleep?

Correct Answer: D

Rationale: Nicotine in cigarettes is a stimulant, disrupting sleep and likely contributing to insomnia, unlike snacks, aspirin, or reading.

Question 3 of 5

The clinic nurse cares for a 4-year-old who has been diagnosed with a pinworm infection. Which client symptom supports this diagnosis?

Correct Answer: A

Rationale: Pinworms cause anal itching, worse at night (
A), due to female worms laying eggs. Bleeding (
B), appetite loss (
C), and skin lesions (
D) are not typical, suggesting other conditions like hookworms or dermatitis.

Question 4 of 5

Which medication prescriptions should the nurse question? Select all that apply.

Correct Answer: A,C,E

Rationale: Cephalexin (
A) is contraindicated in penicillin allergy due to cross-reactivity risk. Ibuprofen (
C) can trigger bronchospasm in aspirin-exacerbated respiratory disease, common in asthma with nasal polyps. Propranolol (E) is contraindicated in asthma due to beta-blockade causing bronchoconstriction. Fexofenadine (
B) is safe for hives, and lisinopril (
D) is appropriate for diabetes to protect kidneys.

Question 5 of 5

The doctor has ordered Nitrostat (nitroglycerine) sublingually for a client with angina. The client should be ordered to replenish his supply every:

Correct Answer: A

Rationale: Nitroglycerin loses potency after 6 months, requiring replacement to ensure efficacy for angina relief.

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