NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
The nurse has reinforced teaching with a client with newly diagnosed polycythemia vera. Which of the following statements by the client would require follow-up?
Correct Answer: A
Rationale: Iron supplements (
A) can worsen polycythemia vera by increasing red blood cell production, requiring follow-up. Increased fluids (
B), phlebotomy (
C), and aspirin (
D) are appropriate.
Question 2 of 5
The client is brought to the emergency department in handcuffs by the police. Witnesses said that the client became violent and confused after consuming large amounts of alcohol at a party. The client is placed in 4-point restraints, and ziprasidone hydrochloride is administered. The client is sleeping 30 minutes later. What is a priority action for the nurse at this time?
Correct Answer: B
Rationale: The client is now sleeping, suggesting reduced agitation. Determining if restraints can be removed (
B) is the priority to minimize harm and promote safety. Bipolar history (
A), ECG changes (
C), and blood alcohol level (
D) are important but less urgent.
Question 3 of 5
A client is to be discharged following the removal of a cataract on the right eye. The nurse should tell the client to:
Correct Answer: B
Rationale: Reporting eye pain immediately is critical as it may indicate complications like infection or increased intraocular pressure. The eye shield is typically worn at night or as directed. Using a pillow is not contraindicated. Dark glasses are often recommended to reduce glare.
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 is caring for a client who has bacterial meningitis. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: A, B, C
Rationale: Minimizing stimuli (
A), seizure precautions (
B), and elevating the head (
C) reduce complications in meningitis. Masks (
D) are unnecessary, and negative pressure rooms (E) are for airborne diseases.