NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
Laboratory data for an adult client diagnosed with Pneumocystis carinii pneumonia indicate immunosuppression. Which is the most important in determining the client's susceptibility to this infection?
Correct Answer: D
Rationale: Pneumocystis carinii pneumonia is associated with immunosuppression, often linked to HIV, which is commonly transmitted through sexual practices.
Question 2 of 5
The nurse is caring for a client with a history of cirrhosis. Which laboratory value is most concerning?
Correct Answer: A
Rationale: Elevated ammonia levels in cirrhosis can lead to hepatic encephalopathy, a serious complication.
Question 3 of 5
The client, with known benign prostatic hyperplasia (BPH), telephones the clinic nurse with concerns of increased urinary frequency and urgency after having a cold that started a few days ago- Which question should the nurse immediately ask the client?
Correct Answer: C
Rationale: A. Clients with BPH should maintain fluid intake at normal levels to prevent dehydration. Drinking large amounts of water, however, could lead to bladder distention, which would result in abdominal discomfort. B. Increased exercise will not alter BPH symptoms. C. Compounds found in common cough and cold remedies, such as pseudoephedrine and phenylephrine, are alpha-adrenergic agonists that cause smooth muscle contraction. Since the bladder is a smooth muscle, these medications may increase symptoms of urinary urgency and frequency. D. Increased amounts of alcohol and caffeine can increase BPH symptoms, but dairy products should not affect BPH symptoms.
Question 4 of 5
The physician orders enoxaparin (Lovenox) for a client who has been diagnosed with a blood clot. To prevent bruising, which actions by the nurse are most appropriate? Select all that apply.
Correct Answer: A,F
Rationale: Avoiding rubbing and applying gentle pressure minimize bruising at the injection site for enoxaparin.
Question 5 of 5
After assessing the client, the nurse initiates the process for reporting the client's STI to the state health agency. Which client has the STI that the nurse is reporting?
Correct Answer: B
Rationale: A. This illustrates acne vulgaris, which is not an STI. B. This illustrates herpes. While herpes simplex may not necessarily be state reportable, it is an STI. By state law, the incidence of some STIs must be reported to the state. C. This illustrates a contact dermatitis; in this client it was caused by nail polish. D. This illustrates candidiasis or thrush. This is not reportable.