NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
The health care provider is starting an elderly client on terazosin to treat benign prostatic hyperplasia. Which information should be included when reinforcing teaching to this client about the new medication?
Correct Answer: A
Rationale: Terazosin can cause orthostatic hypotension, so changing positions slowly prevents dizziness or falls, especially in the elderly. Grapefruit juice, morning dosing, and stool color changes are not specific concerns with terazosin.
Question 2 of 5
A client with terminal cancer becomes hypoxic and unresponsive. According to the client’s paperwork, the client’s sister is the legal medical power of attorney. Both the client’s spouse and sister are present. Which action by the nurse is appropriate at this time?
Correct Answer: B
Rationale: The sister, as the legal medical power of attorney, is authorized to make healthcare decisions when the client is unresponsive. Consulting the spouse is inappropriate, intubation may not align with the client’s wishes, and a living will is not required as the sister has decision-making authority.
Question 3 of 5
The nurse detects blood-tinged fluid leaking from the nose and ears of a head trauma client. What is the appropriate nursing action?
Correct Answer: C
Rationale: Applying a bulky, loose dressing to the nose and ears permits the fluid to drain and provides a visual reference for the amount of drainage.
Extract:
Vital signs
Temperature 98.6 F (37 C)
Heart rate 146/min
Respirations 42/min
O2 saturation or SpO2 98%
Question 4 of 5
A nurse auscultates a loud cardiac murmur on a newborn with suspected trisomy 21 (Down syndrome). A genetic screen and an echocardiogram are scheduled that day. The neonate’s vital signs are shown in the exhibit. What would be an appropriate action for the nurse to complete next?
Correct Answer: B
Rationale: Documenting the murmur is appropriate as genetic screening and an echocardiogram are already scheduled, indicating the provider is aware. Calling the provider is unnecessary, knee-chest position is for specific heart defects, and oxygen is not indicated without respiratory distress.
Extract:
Question 5 of 5
The nurse is making a home visit to a client with chronic obstructive pulmonary disease (COPD). The client tells the nurse that he used to be able to walk from the house to the mailbox without difficulty. Now, he has to pause to catch his breath halfway through the trip. Which diagnosis would be most appropriate for this client based on this assessment?
Correct Answer: A
Rationale: Activity intolerance caused by fatigue related to chronic tissue hypoxia. This reflects the client's reduced capacity for physical activity due to COPD.