NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
Client self-determination is the primary focus of:
Correct Answer: B
Rationale: Nursing advocacy prioritizes client self-determination, supporting autonomy in healthcare decisions. The other options address different aspects of care or legal protection. Coordinated Care
Question 2 of 5
The nurse working on the renal unit is preparing to make rounds for the day. Which client should the nurse visit first?
Correct Answer: C
Rationale: The client one hour post-renal transplant is at highest risk for complications, such as bleeding or graft rejection, requiring immediate assessment. Other clients are stable or less urgent.
Question 3 of 5
The nurse is caring for a client who had a transsphenoidal hypophysectomy and developed diabetes insipidus. Which of the following findings would the nurse expect to observe? Select all that apply.
Correct Answer: A,B,C
Rationale: Diabetes insipidus results from antidiuretic hormone deficiency, causing excessive thirst, increased dilute urine output, and increased serum osmolality due to water loss. Serum sodium may increase, not decrease, and urine specific gravity is low due to dilute urine.
Question 4 of 5
The nurse is caring for a client on droplet precautions who has a prescription for a CT scan. When transporting the client to radiology, the nurse should ensure that the transporter uses protective equipment correctly to reduce the environmental spread of infection when the client is outside the room. Which instruction should the nurse give the transporter?
Correct Answer: A
Rationale: Droplet precautions are used to prevent transmission of respiratory infection. These precautions include the use of a mask and a private room. When the client is in the room, staff should wear masks and follow standard precautions. The client on droplet precautions should wear a mask at all times when outside the hospital room.
Question 5 of 5
The nurse is talking with a client with obesity who has a new prescription for a lipase inhibitor. Which of the following statements by the client would require follow-up?
Correct Answer: A
Rationale: Lipase inhibitors like orlistat should be taken with or within an hour of meals containing fat, not on an empty stomach, to effectively block fat absorption. The other statements are correct: low-fat diet minimizes side effects, oily stools and flatulence are common, and vitamins should be timed to avoid malabsorption.