NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 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 2 of 5
A client with a history of rheumatoid arthritis is prescribed methotrexate. Which laboratory value should the nurse monitor?
Correct Answer: A
Rationale: Methotrexate can cause hepatotoxicity; monitoring liver enzymes is essential.
Question 3 of 5
The nurse is teaching the client and the family members about protection measures when the client, diagnosed with AIDS, returns home. Which instruction indicates that the nurse is unclear about the disease transmission?
Correct Answer: C
Rationale: A. This is the correct formula for mixing a bleach solution for disinfection. B. Placing contaminated items in a plastic bag and then in the garbage is the correct method for disposing of contaminated articles. Sharps should first be placed in a rigid labeled container (such as a tin can), bleach solution added, the lid taped, and then placed in a bag for disposal in the garbage. C. Because sharing eating utensils does not transmit HIV, it is unnecessary to separately wash dishes and silverware used by the client. The client is prone to opportunistic and other infections. D. Cleaning with soap and water and then disinfecting with bleach solution is the correct method for cleaning body fluid spills.
Question 4 of 5
A client with a history of hypertension is prescribed hydrochlorothiazide. Which laboratory value should the nurse monitor closely?
Correct Answer: B
Rationale: Hydrochlorothiazide can cause hypokalemia; monitoring potassium levels is essential.
Question 5 of 5
The nurse is assessing a newborn with suspected jaundice. Which finding confirms the presence of jaundice?
Correct Answer: A
Rationale: Yellowing of the sclera is a hallmark sign of jaundice due to bilirubin accumulation.