NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
The client is admitted for a bronchoscopy this morning. Which question is essential for the nurse to ask the client?
Correct Answer: A
Rationale: Bronchoscopy requires NPO status to prevent aspiration; confirming last intake is essential. Laxatives, procedure knowledge, or sedation history are secondary.
Question 2 of 5
The nurse is reviewing the medication administration record for a 70-year-old client. Which of the following prescribed medications places the client at increased risk for injury? Select all that apply.
Correct Answer: A,B,E
Rationale: Diphenhydramine (
A), amitriptyline (
B), and diazepam (E) cause sedation or confusion, increasing fall risk in the elderly. Simvastatin (
C) and famotidine (
D) do not significantly increase injury risk.
Question 3 of 5
An adult has been taking captopril (Capoten) for hypertension. The client tells the nurse that he has a dry cough and sometimes gets dizzy when he stands up. What conclusions should the nurse make regarding this client?
Correct Answer: C
Rationale: Dry cough and orthostatic hypotension are common ACE inhibitor side effects; slow position changes mitigate dizziness, and cough may require evaluation.
Question 4 of 5
Which of the following situations is most likely to produce sepsis in the neonate?
Correct Answer: B
Rationale: Prolonged rupture of membranes. Premature rupture of the membranes (PROM) is a leading cause of newborn sepsis. After 12-24 hours of leaking fluid, measures are taken to reduce the risk to mother and the fetus/newborn.
Question 5 of 5
An adult comes to the physician's office with a history of headache yesterday and today and pain in the back. The nurse observes a horizontal band of pustular rash on the back extending from the spine to midline in the front. The client describes it as very painful. What would the nurse expect to be prescribed for this client?
Correct Answer: A
Rationale: The painful, unilateral, dermatomal pustular rash suggests herpes zoster (shingles), treated with antivirals like acyclovir.