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 morning weight for a client with emphysema indicates that the client has gained 5 pounds in less than a week, even though his oral intake has been modest. The client's weight gain may reflect which associated complication of COPD?
Correct Answer: B
Rationale: Rapid weight gain in a client with emphysema, despite modest intake, suggests fluid retention, which is commonly associated with cor pulmonale, a complication of COPD involving right heart failure due to lung disease. Answer A (polycythemia) is a blood disorder, not directly linked to weight gain. Answer C (left ventricular failure) is less likely in COPD compared to cor pulmonale. Answer D (compensated acidosis) does not cause weight gain.
Question 3 of 5
The nurse prepares to administer a cleansing enema to a client with constipation. Which interventions are appropriate? Select all that apply.
Correct Answer: A,B,C,E
Rationale: Lubricating the tube (
A), left lateral positioning (
B), retaining the enema (
C), and pausing for cramping (E) are correct for safe administration. Refrigerating the solution (
D) is incorrect; it should be at body temperature.
Question 4 of 5
The nurse is monitoring a client who had an esophagogastroduodenoscopy 2 hours ago. Which finding requires an immediate report to the registered nurse?
Correct Answer: D
Rationale: A temperature spike to 101.2 F (
D) suggests possible perforation or infection, requiring immediate reporting. BP drop (
A) is mild, absent gag reflex (
B) is expected, and sore throat (
C) is normal post-procedure.
Question 5 of 5
The nurse is caring for a client with bulimia nervosa. It would be a priority for the nurse to
Correct Answer: C
Rationale: Monitoring for 1-2 hours after meals (
C) prevents purging, a priority in bulimia management. Time limits (
A) may increase anxiety, overnight checks (
B) are less relevant, and discussing complications (
D) is educational but not immediate.