NCLEX-PN
NCLEX PN Exam Practice Test Questions
Extract:
Question 1 of 5
The nurse is caring for a client with Cushing syndrome. Which of the following clinical manifestations should the nurse expect? Select all that apply.
Correct Answer: A,B,D
Rationale: Cushing syndrome causes hyperglycemia, hypertension, and truncal obesity due to excess cortisol. Hyponatremia and weight loss are not typical.
Question 2 of 5
The nurse is teaching a group of women about health issues. Today's topic is food poisoning. Which statement indicates a need for further instruction?
Correct Answer: D
Rationale: Rare meat poses a risk for foodborne pathogens like E. coli, even if eaten immediately. Other statements reflect proper food safety practices.
Question 3 of 5
A client in the medical-surgical unit has an indwelling urinary catheter. Which actions should the nurse implement to reduce the incidence of catheter-associated urinary tract infections? Select all that apply.
Correct Answer: B,C,E
Rationale: Using a separate container prevents cross-contamination. Keeping the bag below the bladder prevents urine backflow, reducing infection risk. E: Sterile technique minimizes pathogen introduction during specimen collection. A is incorrect as routine antiseptic cleansing can disrupt natural flora, increasing infection risk. D is incorrect as routine irrigation is not recommended unless medically indicated, as it can introduce pathogens.
Question 4 of 5
An adult who had a mastectomy yesterday says to the nurse, 'I guess I'm not a real woman anymore. How could my husband possibly love me now?' What is the best response for the nurse to make?
Correct Answer: A
Rationale: Reflecting the client's feelings validates her emotional distress, fostering therapeutic communication post-mastectomy. Other responses dismiss or redirect her concerns.
Extract:
Laboratory reference ranges
Creatinine
Male: 0.6-1.3 mg/dL
(53-114.9 μmol/L)
Female: 0.5-1.2 mg/dL
(44.2-106.1 μmol/L)
Hemoglobin
Male: 14.0-18.0 g/dL
(140-180 g/L)
Female: 12.0-16.0 g/dL
(120-160 g/L)
Platelets
150,000-400,000/mm3
(150-400 × 109/L)
Question 5 of 5
A client is scheduled for a percutaneous kidney biopsy at 1000. The practical nurse reviews the client's vital signs and most current serum laboratory results at 0600. Which of the following client findings is most important to report to the registered nurse?
Correct Answer: B
Rationale: Severe hypertension (180/100 mm Hg) increases bleeding risk during a kidney biopsy, requiring immediate reporting. Other findings are concerning but less urgent.