NCLEX-PN
NCLEX PN Exam Practice Test Questions
Extract:
Question 1 of 5
The nurse in the emergency department is caring for assigned clients. The nurse should recognize that which of the following clients meets the criteria for involuntary admission to the mental health unit? Select all that apply.
Correct Answer: A,C
Rationale: Refusal of food and fluids for 4 days indicates imminent risk of harm to self due to dehydration and malnutrition, meeting involuntary admission criteria. 3: Threats of violence suggest potential harm to others, justifying involuntary admission. 2 does not indicate immediate risk, as the client is medication-compliant. 4 reflects unusual behavior but not immediate danger. 5 does not inherently indicate a psychiatric emergency requiring involuntary admission.
Question 2 of 5
The nurse is teaching an elderly client how to use MDIs (multi-dose inhalers). The nurse is concerned that the client is unable to coordinate the release of the medication with the inhalation phase. What is the nurse's best recommendation to improve delivery of the medication?
Correct Answer: B
Rationale: If the client is not using the MDI properly, the medication can get trapped in the upper airway, resulting in dry mouth and throat irritation. Using a spacer will allow more drug to be deposited in the lungs and less in the mouth.
Question 3 of 5
The nurse has reinforced teaching with the parents of a 6-year-old client with chronic allergic rhinitis that is triggered by dust and pollen. Which of the following statements by the parents would indicate a correct understanding of the teaching? Select all that apply.
Correct Answer: A,C,D,E
Rationale: Correct choices reduce allergen exposure: HEPA filters remove dust/pollen, hypoallergenic covers prevent dust mite exposure, damp mopping reduces dust, and removing carpets eliminates allergen reservoirs. Keeping windows open increases pollen exposure, worsening symptoms.
Question 4 of 5
The nurse is caring for a client with osteoporosis who is being discharged on alendronate (Fosamax). Which statement would indicate effective teaching?
Correct Answer: B
Rationale: This is required to prevent esophageal problems. The medication should be taken in the morning before food or other medications with water, making answers A and C incorrect choices. It should also be taken as ordered, which makes answer D incorrect.
Question 5 of 5
An adult who has been well controlled on phenytoin (Dilantin) reports having had several seizures recently. Which comment made by the client is probably related to seizure activities?
Correct Answer: C
Rationale: Alcohol consumption (Happy Hour) can lower the seizure threshold, reducing phenytoin's effectiveness, likely causing seizures, unlike exercise, job changes, or ibuprofen.