NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Question 1 of 5
Because the client has hypothyroidism, the nurse expects which of the following to be present in the client?
Correct Answer: C
Rationale: Hypothyroidism slows metabolism, causing hypothermia (e.g., 96.8°F). Weight gain, not loss, slow respirations, and heavy menses are typical.
Question 2 of 5
The nurse is reinforcing instructions about the use of regular and neutral protamine Hagedorn (NPH) insulin. Which statement by the client indicates that further instruction is needed?
Correct Answer: B
Rationale: Eating 30 minutes after NPH and regular insulin (
B) risks hypoglycemia, as regular insulin acts within 30 minutes. Checking glucose (
A), using new syringes (
C), and sliding scale for regular insulin (
D) are correct.
Question 3 of 5
The nurse is observing a staff member collecting a sputum specimen from a client with active tuberculosis. The nurse should intervene if the staff member is observed
Correct Answer: A
Rationale: Leaving supplies (
A) in a TB room risks contamination. Gloves before gown (
B), dedicated stethoscope (
C), and N95 with face shield (
D) are appropriate.
Extract:
Vital signs
Temperature 98.7 F (37.05 C)
Blood pressure 110/64 mm Hg
Heart rate 92/min
Respirations 22/min
O2 saturation or SpO2 90% on room air
Question 4 of 5
An 81-year-old client is admitted to a rehabilitation facility 3 days after total hip replacement. The next morning, the unlicensed assistive personnel (UAP) takes the client's vital signs, but when the UAP returns to assist the client with a shower, the client curses at and tries to hit the UAP. Which is the most appropriate response by the practical nurse?
Correct Answer: A
Rationale: Observing the client (
A) allows assessment of the behavior's cause. Assuming dissatisfaction (
B) or dementia (
D) is premature. Leaving the client (
C) delays intervention.
Extract:
Question 5 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.