NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
The nurse has reinforced teaching with a client who has rheumatoid arthritis and is receiving methotrexate. Which of the following statements by the client would require follow-up?
Correct Answer: D
Rationale: Avoiding alcohol (
A), preventing pregnancy (
B), and avoiding crowds (
C) are correct. Avoiding folic acid (
D) is incorrect, as methotrexate often requires folic acid supplementation to reduce side effects.
Question 2 of 5
The nurse is talking with a client with major depressive disorder who has been taking paroxetine for the past 3 weeks. Which of the following statements by the client would require immediate follow-up?
Correct Answer: B
Rationale: Persistent depression with increased energy (
B) may indicate rising suicide risk, requiring immediate follow-up. Appetite (
A), sleep (
C), and libido (
D) changes are common side effects.
Question 3 of 5
The nurse is reinforcing teaching about hypoglycemia with a group of clients who have type 1 diabetes mellitus. Which of the following should the nurse include as signs or symptoms of hypoglycemia? Select all that apply.
Correct Answer: A, C, E
Rationale: Diaphoresis (
A), pallor (
C), and trembling (E) are signs of hypoglycemia due to sympathetic activation. Flushing (
B) and polyuria (
D) are not typical.
Question 4 of 5
A postoperative client is having difficulty voiding. Palpation of the bladder indicates that the bladder is full. What should the nurse do initially?
Correct Answer: B
Rationale: Pouring water over the perineum stimulates the micturition reflex, aiding voiding non-invasively. Catheterization, breathing, or pain medication are secondary.
Question 5 of 5
The spouse of a client with Alzheimer's disease expresses concern about the burden of caregiving. Which of the following actions by the nurse should be a priority?
Correct Answer: A
Rationale: Assisting caregivers to locate and join support groups is most helpful. Families share feelings and learn about services such as respite care. Health education is also available through local and national Alzheimer's chapters.