NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
The nurse is assisting in planning care for a client experiencing an acute attack of Ménière disease. Which action is a high priority to include in the plan of care?
Correct Answer: C
Rationale: A quiet environment (
C) reduces sensory overload, a priority in Ménière disease attacks. Fall precautions (
A), emesis basin (
B), and IV fluids (
D) are supportive but less critical.
Question 2 of 5
A 24-year-old female client is prescribed isotretinoin for severe cystic acne. Which instruction is most important for the nurse to reinforce?
Correct Answer: D
Rationale: Isotretinoin is highly teratogenic, so using two forms of contraception (
D) is critical to prevent pregnancy. Sunscreen (
C) is important for photosensitivity, but contraception is the priority.
Question 3 of 5
A client is admitted with a diagnosis of hepatitis B. In reviewing the initial laboratory results, the nurse would expect to find elevation in which of the following values?
Correct Answer: C
Rationale: Bilirubin. Hepatitis B causes liver dysfunction, leading to elevated bilirubin levels.
Question 4 of 5
The mother is concerned that her 6-year-old child is eating dirt every day. The nurse is most concerned about which of the following?
Correct Answer: B
Rationale: Pica, such as eating dirt, raises concern for lead poisoning, especially in children, as contaminated soil may contain lead, posing neurological risks.
Question 5 of 5
The nurse is preparing to administer an anticholinergic medication to a client with irritable bowel syndrome. Which of the following findings would require follow-up prior to administering the medication?
Correct Answer: A
Rationale: Anticholinergics can worsen urinary retention, so 650 mL post-void residual (
A) requires follow-up. Macular degeneration (
B), loose stools (
C), and fatigue (
D) are not contraindications.