NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Question 1 of 5
An ambulatory client reports edema during the day in his feet and ankles that disappears while sleeping at night. What is the most appropriate follow-up question for the nurse to ask?
Correct Answer: B
Rationale: Do you become short of breath during your normal daily activities? This assesses for activity intolerance, a symptom of right-sided heart failure causing edema.
Question 2 of 5
The parents of a 4-year-old tell the nurse that the child won't go to sleep at night due to fear of tigers living under the bed. Which response by the nurse is most helpful?
Correct Answer: C
Rationale: Night fears are normal in preschoolers (
C). Checking under the bed with the child validates their fear while showing safety. Linking to a zoo visit (
A) or media (
D) assumes unconfirmed triggers. Agreeing with fears (
B) may reinforce them.
Question 3 of 5
A client with a 10-year history of major depressive disorder has relapsed and is now hospitalized. The client is currently on phenelzine and weighs 115 lb (52.2 kg) but weighed 150 lb (68 kg) 3 months before admission. Which foods would be best for this client?
Correct Answer: C
Rationale: Phenelzine, an MAOI, requires avoiding tyramine-rich foods like cheese (
A) to prevent hypertensive crisis. Fish and potatoes (
C) are safe and nutritious. Eggs (
B) and avocado (
D) are safe but less balanced.
Question 4 of 5
Which of the following instructions should be included for the client taking calcium supplements?
Correct Answer: A
Rationale: Taking calcium supplements with meals enhances absorption and reduces gastrointestinal upset.
Question 5 of 5
Before administering a feeding through a gastrostomy tube, what is the priority nursing assessment?
Correct Answer: D
Rationale: Tube patency should be checked prior to all feedings. The feeding should not be attempted if the tube is not patent.