NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
The nurse is assessing a client with suspected hypovolemia. Which finding supports this diagnosis? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Tachycardia, hypotension, dry mucous membranes, and cool, clammy skin indicate hypovolemia; increased urine output does not.
Question 2 of 5
A client with a nasogastric tube has just returned from the recovery room after gastric surgery. Which report made by the client is essential to pass on to the physician or charge nurse?
Correct Answer: D
Rationale: Bright red, bloody drainage indicates potential hemorrhage, requiring immediate reporting to the physician.
Question 3 of 5
Which action by the nurse is most appropriate while assessing the neurologic function of a client who has a freshly applied plaster cast to the lower extremity?
Correct Answer: A
Rationale: Asking the client to wiggle the toes assesses motor function, ensuring no nerve compression from the cast.
Question 4 of 5
The office nurse is caring for the client diagnosed with chlamydia and syphilis. Based on this diagnosis, which medication order would require the nurse's immediate review with the prescribing HCP?
Correct Answer: C
Rationale: A. Doxycycline (Vibramycin), a tetracycline antibiotic, is an appropriate drug for treating chlamydia. B. Azithromycin (Zithromax), a semisynthetic macrolide antibiotic, is an appropriate drug for treating chlamydia. C. Metronidazole (Flagyl) is an anti-infective against anaerobic organisms, an amoebicide, and an antiprotozoal agent. It is not indicated for either chlamydia or syphilis. Flagyl is used to treat bacterial vaginosis and trichomoniasis. Collaboration with the HCP is necessary to discuss and clarify the order. D. Penicillin G (Bicillin) is an appropriate drug for treating syphilis.
Question 5 of 5
The female nurse is sitting across a table from the Latino male she has been educating about testicular self-examination. When the client successfully verbalizes the process, the nurse excitedly praises the client, leans over the table, and makes the "OK" sign with her thumb and forefinger. The client angrily gets up and abruptly leaves the room. What likely caused the client's abrupt departure?
Correct Answer: C
Rationale: A. Since the client had participated in the discussion up to the point of the nurse's actions, he obviously was not uncomfortable with the discussion. B. A Latino is usually not uncomfortable with close personal space; some Latinos perceive Anglos as distant because they prefer more personal space during a conversation. C. In much of Latin America, the North American "OK" sign (i.e., pinched thumb and forefinger) may be considered obscene. D. Anger and an abrupt departure are usually not behaviors displayed by the client when teaching is completed.