NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
The nurse administers the prescribed dose of hydromorphone 2 mg to a client who had knee replacement surgery 2 days ago. Which assessment finding is most concerning to the nurse?
Correct Answer: A
Rationale: Falling asleep mid-conversation (
A) may indicate opioid-induced respiratory depression, a life-threatening concern. Constipation (
B), emesis (
C), and pruritus (
D) are less urgent side effects.
Question 2 of 5
The nurse is reviewing discharge teaching for a client who had surgical repair of a retinal detachment. Which of the following instructions are appropriate for the nurse to include in the teaching? Select all that apply.
Correct Answer: A, B, D
Rationale: Avoiding rubbing (
A), straining (
B), and reporting sudden pain (
D) prevent complications. Flashes (
C) are not expected and require reporting, and eye rest (E) is unnecessary unless specified.
Question 3 of 5
The nurse reviews the ECG of a client. Which prescribed medication should the nurse suspect as the cause of the ECG findings?
Correct Answer: D
Rationale: Levothyroxine (
D) can cause arrhythmias, which may be reflected in ECG changes. Captopril (
A), Carvedilol (
B), and Glipizide (
C) are less likely to cause significant ECG alterations.
Question 4 of 5
The nurse is caring for a hospitalized client diagnosed with thyrotoxicosis (thyroid storm). Which action is most appropriate to assign to unlicensed assistive personnel?
Correct Answer: B
Rationale: Lowering room temperature (
B) is within UAP scope and helps manage hyperthermia. Calling family (
A), teaching (
C), and applying a warming blanket (
D) are inappropriate or require nursing judgment.
Question 5 of 5
The nurse reviews a prescription to insert an indwelling urinary catheter in a hospitalized client. Which rationale for indwelling urinary catheter insertion is most appropriate?
Correct Answer: A
Rationale: Acute urinary retention (
A) is a medical indication for catheterization. Confusion/incontinence (
B), fall risk (
C), and diuretics (
D) are not sufficient justifications.