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NCLEX PN Practice Test Questions

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Question 1 of 5

The nurse has reinforced nutritional teaching on a client with gout who is placed on a low-purine diet. Which selection by the client would indicate a need for further teaching?

Correct Answer: D

Rationale: Fish should be avoided on a low-purine diet. Other foods to avoid include poultry, liver, lobster, oysters, peas, spinach, and oatmeal. Answers A, B, and C are all foods included on a low-purine diet, which makes them incorrect.

Question 2 of 5

The nurse is caring for a 9-year-old client with cystic fibrosis who is scheduled to receive pancrelipase at 1200. The client states, 'I am not hungry now. I want to eat lunch in a few hours.' Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Pancrelipase aids digestion in cystic fibrosis and should be taken with food. A small snack (
C) ensures enzyme effectiveness while respecting the child’s appetite. Omitting (
A) or halving (
B) the dose risks malabsorption, and holding (
D) delays nutrition.

Question 3 of 5

The nurse is caring for assigned clients. The nurse should first check the

Correct Answer: A

Rationale: A 3-year-old with fever, hip pain, and refusal to move the leg (
A) may indicate a serious condition like septic arthritis or osteomyelitis, requiring immediate assessment to prevent joint damage or systemic infection. Sinus congestion (
B) and urinary symptoms (
D) are less urgent, and the nosebleed (
C) is being managed with pressure, making them lower priorities.

Question 4 of 5

A client on hospice home care is taking sips of water but refusing food. Family members appear distressed and insist that the personal care worker 'force feed' the client. What is the priority nursing action?

Correct Answer: A

Rationale: Explaining that anorexia is normal in dying (
A) addresses family distress and aligns with hospice goals. Exploring concerns (
B) is secondary, feeding tubes (
C) are inappropriate, and choking warnings (
D) may escalate distress.

Question 5 of 5

The nurse is discussing dementia with the families of older adults. All of the following behaviors are reported. Which behavior is most suggestive of dementia?

Correct Answer: B

Rationale: Getting lost in a familiar area indicates significant spatial disorientation, a hallmark of dementia. Forgetting details, misplacing items, or color oversight are less specific.

Similar Questions

A visiting family member of a hospitalized client reports sudden onset of a headache and numbness in half of the body. The visitor asks the nurse to take a blood pressure reading. What is the most appropriate response by the nurse?
The nurse is caring for four antepartum clients. Which client should the nurse see first?
When planning care for a woman who is admitted in labor, it is most important for the nurse to obtain which of the following information about the client?
A client arrives at the clinic for a follow-up after an emergency department visit the night before. The client sustained an ulnar fracture, and a fiberglass cast was applied. Which of the following teachings related to cast care should the nurse reinforce? Select all that apply.
A client with asthma was recently prescribed fluticasone/salmeterol. After the client has received instructions about this medication, which statement would require further teaching by the nurse?

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