NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
The clinic nurse is reinforcing client teaching about the tiotropium that has been prescribed for chronic obstructive pulmonary disease (COPD). Which statement indicates that the client has a correct understanding of this medication?
Correct Answer: A
Rationale: Tiotropium is a powder in a capsule used with an inhaler (
A). Rinsing the mouth (
B) is unnecessary, but it's taken daily, not PRN (
C), and it's a bronchodilator, not anti-inflammatory (
D).
Question 2 of 5
The nurse is talking with a group of parents about puberty. The nurse should include that the first sign of puberty in clients of the male sex is
Correct Answer: C
Rationale: Testicular enlargement (
C) is the first sign of puberty in males, occurring before height increase (
A), muscle mass gain (
B), or penile growth (
D).
Question 3 of 5
The nurse in the emergency department is caring for a client who has facial lacerations, a suspected fracture of the arm, and multiple bruises at various stages of healing. The client's spouse is at the bedside and appears angry. Which of the following actions would be a priority for the nurse take?
Correct Answer: B
Rationale: Multiple bruises at various stages suggest possible abuse, so talking privately with the client (
B) is the priority to assess safety. Social services (
A) may follow, but immediate safety assessment comes first. Treating injuries (C,
D) is secondary.
Question 4 of 5
The nurse is preparing to administer a scheduled vaccine to a pediatric client with hemophilia. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: C,E
Rationale: Firm pressure for 5 minutes (
C) and using a small, short needle (E) minimize bleeding in hemophilia. Ibuprofen (
A) increases bleeding risk, warm compresses (
B) may worsen bleeding, and massage (
D) can cause hematoma.
Question 5 of 5
Which of the following nursing interventions is essential when caring for a client who is receiving Cyclophosphamide (Cytoxin)?
Correct Answer: B
Rationale: Cyclophosphamide can cause hemorrhagic cystitis; monitoring urine output is critical to detect blood in the urine and ensure adequate hydration.