NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client with bulimia nervosa. It would be a priority for the nurse to
Correct Answer: C
Rationale: Monitoring for 1-2 hours after meals (
C) prevents purging, a priority in bulimia management. Time limits (
A) may increase anxiety, overnight checks (
B) are less relevant, and discussing complications (
D) is educational but not immediate.
Question 2 of 5
The nurse monitoring a client with appendicitis will expect the client to give which description of the associated abdominal pain?
Correct Answer: C
Rationale: Appendicitis typically causes severe pain in the right lower quadrant (
C). Upper abdominal burning (
A) suggests gastritis, left-sided pain (
B) is atypical, and shoulder pain (
D) may indicate referred pain from other conditions.
Question 3 of 5
An adult has been taking captopril (Capoten) for hypertension. The client tells the nurse that he has a dry cough and sometimes gets dizzy when he stands up. What conclusions should the nurse make regarding this client?
Correct Answer: C
Rationale: Dry cough and orthostatic hypotension are common ACE inhibitor side effects; slow position changes mitigate dizziness, and cough may require evaluation.
Question 4 of 5
The nurse in the emergency department is caring for a client who has facial lacerations, a suspected fracture of the arm, and multiple bruises at various stages of healing. The client's spouse is at the bedside and appears angry. Which of the following actions would be a priority for the nurse take?
Correct Answer: B
Rationale: Multiple bruises at various stages suggest possible abuse, so talking privately with the client (
B) is the priority to assess safety. Social services (
A) may follow, but immediate safety assessment comes first. Treating injuries (C,
D) is secondary.
Question 5 of 5
An adolescent client comes to the clinic 3 weeks after the birth of her first baby. She tells the nurse she is concerned because she has not returned to her pre-pregnant weight. Which action should the nurse perform first?
Correct Answer: C
Rationale: Encourage her to talk about her view of herself.
To an adolescent, body image is very important, and addressing this concern first facilitates further assessment.