NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
The nurse has reinforced teaching with a client with newly diagnosed psoriasis. Which of the following statements by the client would require follow-up?
Correct Answer: A
Rationale: Moderate sunlight exposure can improve psoriasis, so statement A is incorrect and requires follow-up. Avoiding scratching (
B), recognizing stress as a trigger (
C), and avoiding alcohol (
D) are accurate and align with psoriasis management.
Question 2 of 5
The nurse is caring for a client with syndrome of inappropriate antidiuretic hormone. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: B,C,D
Rationale: Seizure precautions (
B), neurological checks (
C), and strict I&O (
D) manage SIADH complications like hyponatremia. Vasopressin (
A) worsens SIADH, and normal saline (E) may not correct hyponatremia.
Question 3 of 5
While assisting a doctor with a sterile dressing change, the nurse notices that the doctor has contaminated his left hand. Which action should the nurse take?
Correct Answer: B
Rationale: Telling the doctor about the contamination maintains sterility and patient safety. Handing gloves assumes he noticed. Antibiotics are not a substitute for sterility. Reporting is secondary to immediate action.
Question 4 of 5
The nurse is caring for a hospice client with advanced heart failure who is having trouble breathing. Which comfort intervention should the nurse implement first?
Correct Answer: C
Rationale: Elevating the head of the bed (
C) is the first non-pharmacologic intervention to ease breathing in heart failure by reducing pulmonary congestion. Albuterol (
A) is for bronchospasm, imagery (
B) is secondary, and morphine (
D) is for severe distress.
Question 5 of 5
The nurse is caring for a client with increased intracranial pressure (ICP). Which statement by the unlicensed assistive personnel would require immediate intervention by the nurse?
Correct Answer: A
Rationale: Raising the head of the bed (
A) without medical guidance can alter ICP dangerously. Dimming lights (
B), moving belongings (
C), and breathing exercises (
D) are generally safe or neutral.