NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
The nurse is assessing a client with suspected meningitis. Which finding is most concerning?
Correct Answer: A
Rationale: Nuchal rigidity (stiff neck) is a hallmark sign of meningitis, indicating potential meningeal irritation.
Question 2 of 5
A client with a history of bipolar disorder is prescribed lithium. Which laboratory value should the nurse monitor?
Correct Answer: B
Rationale: Serum lithium levels must be monitored to ensure therapeutic range (0.6–1.2 mEq/L) and prevent toxicity.
Question 3 of 5
The nurse is caring for the client who is angry about a new diagnosis of gonorrhea. The client informs the nurse, "I absolutely will not allow the release of this information to anyone." Which response by the nurse is most appropriate?
Correct Answer: A
Rationale: A. Being diagnosed with an STI can cause emotional distress. This response acknowledges the client's reaction and provides the opportunity to clarify the statement's meaning. B. Although gonorrhea is reportable, this response is a closed statement and does not allow the opportunity for the client to express feelings. C. The nurse is making an assumption about the client's spouse. D. Although this response does acknowledge the client's reaction, the last portion becomes judgmental and places the emphasis on the nurse's feelings.
Question 4 of 5
A client with a history of hypothyroidism is prescribed levothyroxine. Which instruction should the nurse include?
Correct Answer: A
Rationale: Taking levothyroxine on an empty stomach enhances absorption.
Question 5 of 5
When developing the care plan of a client who has a nasogastric (NG) tube for gastric decompression, which nursing order should be modified because it is considered unsafe?
Correct Answer: A
Rationale: Liberal fluid intake is unsafe for a client with an NG tube for decompression, as it may increase gastric contents and risk aspiration.