NCLEX-PN
NCLEX PN Practice Test Questions
Extract:
Question 1 of 5
The nurse is caring for a client with hepatic encephalopathy who is receiving lactulose. Which of the following findings would indicate that the medication has been effective?
Correct Answer: A
Rationale: Lactulose is used in hepatic encephalopathy to reduce ammonia levels by promoting its excretion through the stool. Improved mental status (
A) indicates reduced ammonia toxicity, directly reflecting the medication's therapeutic effect. Looser stools (
B) and reduced abdominal distension (
C) are expected effects of lactulose but are secondary to the primary goal of ammonia reduction. Increased serum potassium (
D) is incorrect, as lactulose does not directly affect potassium levels.
Question 2 of 5
An adolescent client has been hospitalized for 2 months for an eating disorder. She asks the nurse what to tell her classmates about her long absence. The nurse can best help the client by:
Correct Answer: C
Rationale: Role-playing helps the client prepare for social interactions, building confidence in handling questions about her absence.
Question 3 of 5
The nurse is giving preoperative medication to an adult who is scheduled for surgery. The client says to the nurse that she does not want to have a transfusion during surgery because it is against her religion. The client has signed a consent form for surgery. How should the nurse respond?
Correct Answer: C
Rationale: An addendum to refuse transfusions respects the client's religious beliefs, ensuring informed consent. Other responses dismiss her autonomy or delay care.
Question 4 of 5
The nurse recognizes that which factors place a client at increased risk for falls? Select all that apply.
Correct Answer: C,D,E
Rationale: Orthostatic pulse change (
C) indicates cardiovascular instability, increasing fall risk. Osteoarthritis of knees (
D) impairs mobility and stability. Carbidopa/levodopa (E) for Parkinson’s can cause orthostatic hypotension or dyskinesia, heightening fall risk. Age 50 (
A) is not a significant risk factor alone, ovarian cancer (
B) is unrelated to falls, and cane use (F) reduces risk if used correctly.
Question 5 of 5
During an initial prenatal visit, the practical nurse is reviewing the history of a client at 10 weeks gestation. Which finding is a priority to report to the registered nurse?
Correct Answer: A
Rationale: Pet cats (
A) pose a toxoplasmosis risk, which can cause fetal harm, requiring immediate education and possible testing. Weight gain (
B) is normal, milky discharge (
C) is typical in pregnancy, and swimming (
D) is safe.