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NCLEX PN Practice Test Questions

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Question 1 of 5

Prior to discharge of a child with a ventriculoperitoneal (VP) shunt, the nurse reinforces teaching to the caregiver about when to contact the health care provider. The caregiver shows understanding of the instructions by contacting the health care provider about which symptom?

Correct Answer: C

Rationale: Persistent vomiting (
C) suggests shunt malfunction or increased intracranial pressure, requiring immediate reporting. Normal temperature (
A), memory lapses (
B), and palpable shunt (
D) are not concerning.

Question 2 of 5

The nurse is giving preoperative medication to an adult who is scheduled for surgery. The client says to the nurse that she does not want to have a transfusion during surgery because it is against her religion. The client has signed a consent form for surgery. How should the nurse respond?

Correct Answer: C

Rationale: An addendum to refuse transfusions respects the client's religious beliefs, ensuring informed consent. Other responses dismiss her autonomy or delay care.

Question 3 of 5

The nurse is reviewing lifestyle and nutritional strategies to help cables symptoms in a client with newly diagnosed gastroesophageal reflux disease. Which strategies should the nurse include? Select all that apply.

Correct Answer: A,D,E

Rationale: GERD management focuses on reducing esophageal irritation. Low-fat foods (
A) reduce gastric acid secretion and reflux risk. Limiting alcohol and tobacco (
D) prevents lower esophageal sphincter relaxation and mucosal irritation. Avoiding caffeine, chocolate, and peppermint (E) minimizes sphincter relaxation. Dairy (
B) is not universally contraindicated unless lactose intolerance is present. Large meals (
C) increase gastric pressure, worsening reflux.

Question 4 of 5

A client with allergic rhinitis has an order for a long-acting nasal spray that contains oxymetazoline. The client should be instructed to use the spray as directed to prevent:

Correct Answer: B

Rationale: Overuse of oxymetazoline can cause rebound nasal congestion (rhinitis medicamentosa). It does not typically cause bleeding, nasal polyps, or tinnitus.

Question 5 of 5

A client arrives at the clinic for a follow-up after an emergency department visit the night before. The client sustained an ulnar fracture, and a fiberglass cast was applied. Which of the following teachings related to cast care should the nurse reinforce? Select all that apply.

Correct Answer: A,B,C,E

Rationale: Hot areas or odors (
A) suggest infection, keeping the cast dry (
B) prevents skin breakdown, elevation (
C) reduces swelling, and soft objects (E) avoid injury. Numbness and tingling (
D) are not normal and may indicate nerve compression, requiring immediate reporting.

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