NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
The nurse is assisting in developing the plan of care for a client diagnosed with anorexia nervosa who is being admitted after unsuccessful outpatient treatment. The nurse understands that which client outcome is the priority?
Correct Answer: C
Rationale: In anorexia nervosa, severe malnutrition poses immediate health risks, making increased caloric intake and weight gain the priority to stabilize physical health. Addressing interpersonal skills, coping mechanisms, or emotional conflicts is secondary until nutritional status improves.
Question 2 of 5
A client has been admitted with a catheter-associated, vancomycin-resistant enterococcal bacteremia. Which interventions should the nurse implement? Select all that apply.
Correct Answer: A,B,E
Rationale: Dedicated equipment, hand hygiene, and an isolation gown prevent the spread of vancomycin-resistant enterococcus. A 'No Visitors' sign is unnecessary, and a face mask is not required unless droplet precautions are indicated.
Extract:
Exhibit 1
Assessment data
0600 Wednesday 0600 Thursday
Blood pressure 148/84 mm Hg 98/60 mm Hg
24-hour intake/output 1000/3000 mL ---------------
Exhibit 2
Laboratory results
0600 Wednesday 0600 Thursday
Sodium
136-145 mEq/L
(136-145 mmol/L) 140 mEq/L
(140 mmol/L) 150 mEq/L
(150 mmol/L)
Potassium
3.5-5.0 mEq/L
(3.5-5.0 mmol/L) 4.2 mEq/L
(4.2 mmol/L) 3.5 mEq/L
(3.5 mmol/L)
Glucose (fasting)
70–110 mg/dL
(3.9–6.1 mmol/L) 90 mg/dL
(5 mmol/L) 99 mg/dL
(5.5 mmol/L)
Exhibit 3
Medication administration record
Allergies: None
Medications Thursday
Furosemide: 40 mg IVP, once daily 0700
Levofloxacin: 500 mg IV, once daily 0700
Glipizide: 5 mg orally, twice daily 0700-1700
Potassium chloride: 20 mEq/L orally, once daily 0700
Question 3 of 5
The nurse is preparing 7:00 AM medications for a client with a urinary tract infection and a history of heart failure and type 2 diabetes. Based on the information from the medical and medication records, which prescription should the nurse question before administering?
Correct Answer: A
Rationale: Furosemide in heart failure requires careful monitoring of fluid status and electrolytes, especially early in the day, to avoid exacerbating dehydration or hypotension. Glipizide, levofloxacin, and potassium chloride are appropriate for diabetes, UTI, and potential hypokalemia, respectively.
Extract:
Question 4 of 5
The charge nurse has a health care team that consists of 1 practical nurse (PN), 1 unlicensed assistive personnel (UAP) and 1 PN nursing student. Which assignment should be questioned by the nurse manager?
Correct Answer: A
Rationale: The care for a new admission should be performed by an RN. Since the client was admitted at the change of shifts, the stability of the client would not have been established.
Question 5 of 5
The nurse is caring for a 45-year-old client with atrial fibrillation who has been receiving diltiazem. Which of the following findings would indicate that the medication has been effective?
Correct Answer: D
Rationale: Diltiazem is used in atrial fibrillation to control ventricular rate. A decrease from 158/min to 88/min indicates effective rate control. Blood pressure, chest pain, and stroke prevention are not primary indicators of diltiazem's efficacy in this context.