NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Question 1 of 5
The nurse can best ensure the safety of a client suffering from dementia who wanders from the room by which action?
Correct Answer: D
Rationale: This type of identification band easily tracks the client's movements and ensures safety while the client wanders on the unit. Restriction of activity is inappropriate for any client unless they are potentially harmful to themselves or others.
Question 2 of 5
The nurse is caring for a client with benign prostatic hypertrophy (BPH). Which of the following assessments would the nurse anticipate finding?
Correct Answer: C
Rationale: Frequent urination. BPH causes overflow incontinence with frequent urination in small amounts due to bladder obstruction.
Question 3 of 5
A client receiving end-of-life care is no longer able to make decisions. The client's appointed medical power of attorney (MPOA) is considering placement of a percutaneous enterogastric feeding tube. The MPOA asks the nurse, 'What would you do if this was your family member?' How should the nurse respond?
Correct Answer: C
Rationale: Exploring pros and cons (
C) empowers the MPOA to make an informed decision. Personal opinions (
A), chaplain referral (
B), or family meetings (
D) are less direct.
Question 4 of 5
The nurse is assessing a client at 11 weeks gestation. The first day of the client's last menstrual period was September 7. Which of the following findings should the nurse expect to obtain?
Correct Answer: B,D,E
Rationale: At 11 weeks, increased urinary frequency (
B) is expected due to hormonal changes. The Naegele rule (LMP + 1 year - 3 months + 7 days) gives June 14 (
D). Fetal heart tones are detectable by Doppler (E). Fetal movement (
A) is felt later (16-20 weeks), and fundal height of 24 cm (
C) occurs around 24 weeks.
Question 5 of 5
The nurse is caring for a client with heart failure who develops a persistent, dry cough after starting enalapril. Which of the following new prescriptions would the nurse anticipate for this client?
Correct Answer: D
Rationale: A dry cough is a common side effect of ACE inhibitors like enalapril, so switching to an ARB like valsartan (
D) is anticipated. Alprazolam (
A), guaifenesin (
B), and lisinopril (C, another ACE inhibitor) are inappropriate.