NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
During the shift report, the night charge nurse tells the day charge nurse that the night unlicensed assistive personnel (UAP) is totally incompetent. What is the best response for the day charge nurse to give?
Correct Answer: D
Rationale: Suggesting discussion with the nurse manager (
D) addresses the issue professionally. Encouraging training (
A), deflecting responsibility (
B), or defending the UAP (
C) are less appropriate.
Question 2 of 5
The nurse is reinforcing home care instructions to a client newly diagnosed with osteomalacia. Which of the following client statements indicate proper understanding of teaching? Select all that apply.
Correct Answer: C, D
Rationale: Vitamin D-rich foods (
C) and physical activity (
D) improve bone health in osteomalacia. Avoiding calcium/phosphorus (
A), sunlight (
B), or using a cane (E) are incorrect or unnecessary.
Extract:
Laboratory results
Sodium
136-145 mEq/L
(136-145 mmol/L) 126 mEq/L
(126 mmol/L)
Potassium
3.5-5.0 mEq/L
(3.5-5.0 mmol/L) 4.8 mEq/L
(4.8 mmol/L)
Calcium
9.0–10.5 mg/dL
(2.25–2.62 mmol/L) 9.0 mg/dL
(2.25 mmol/L)
Question 3 of 5
A client with heart failure has gained 5 lb (2.26 kg) over the last 3 days. The nurse reviews the client's blood laboratory results. Based on this information, what medication administration does the nurse anticipate?
Correct Answer: C
Rationale: Weight gain in heart failure suggests fluid retention. Furosemide (
C), a diuretic, is anticipated to reduce fluid overload. Sodium chloride (
A) worsens fluid retention, and calcium gluconate (
B) and sodium polystyrene (
D) address other conditions.
Extract:
Question 4 of 5
The nurse is discussing positioning with the family of a client who is at home following a total hip replacement a week ago. Which should be included in the discussion?
Correct Answer: C
Rationale: A pillow between the legs maintains hip abduction, preventing dislocation post-hip replacement, a critical positioning instruction.
Question 5 of 5
The nurse is caring for a frail elderly client in her home. Which behavior, if observed or reported, should the nurse report to the supervisor for further evaluation of possible abuse?
Correct Answer: B
Rationale: Leaving a frail client alone for hours poses neglect risk, warranting abuse evaluation. Guardianship, brown spots, or yelling are less definitive without context.