NCLEX-PN
NCLEX PN Exam Practice Test Questions
Extract:
Question 1 of 5
The client has a chest tube attached to a portable water seal drainage system. Four hours after the chest tube is inserted, the nurse notes that there is no bubbling in the water seal compartment. What is the most likely explanation for this?
Correct Answer: A
Rationale: No bubbling in the water seal four hours post-insertion suggests the lung has reexpanded, resolving the pneumothorax. Obstruction, air leaks, or inactive suction would typically cause other signs.
Question 2 of 5
What must the nurse emphasize when teaching a client with depression about a new prescription for nortriptyline (Pamelor)?
Correct Answer: B
Rationale: Alcohol potentiates the action of tricyclic antidepressants.
Question 3 of 5
An African American client comes to the clinic for a follow-up visit 2 months after starting enalapril for hypertension. Which client statement should be reported to the health care provider immediately?
Correct Answer: D
Rationale: A thicker tongue may indicate angioedema, a rare but life-threatening side effect of enalapril (an ACE inhibitor), requiring immediate reporting. A (dry cough) and C (dizziness) are common side effects that warrant monitoring but are less urgent. B indicates suboptimal blood pressure control, which requires follow-up but is not immediately life-threatening.
Question 4 of 5
A thyroid scan, a cardiac catheterization, a gallbladder x-ray, and an intravenous pyelogram are ordered for a client. Which test should the nurse schedule to be done first?
Correct Answer: A
Rationale: Thyroid scans use radioactive iodine, which can interfere with other tests' contrast agents or imaging. Scheduling it first prevents interaction with cardiac catheterization, gallbladder x-ray, or IVP.
Question 5 of 5
The client has a prolonged prothrombin time. What question is important to ask the client when interpreting this information?
Correct Answer: B
Rationale: Excessive alcohol consumption can impair liver function, prolonging prothrombin time by reducing clotting factor production, a key question to assess.