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NCLEX PN Practice Test Questions

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Question 1 of 5

The nurse is caring for a client with suspected colorectal cancer. Which of the following findings would support a diagnosis of colorectal cancer? Select all that apply.

Correct Answer: A,B,C,D

Rationale: Colorectal cancer often presents with fatigue (
A) due to anemia or systemic effects, blood in the stool (
B) from tumor bleeding, changes in bowel habits (
C) like diarrhea or constipation, and unintentional weight loss (
D) from malignancy-related cachexia. Elevated hemoglobin (E) is unlikely, as anemia is more common due to chronic blood loss.

Question 2 of 5

The nurse is planning care for all of the following clients. Which client should be cared for first?

Correct Answer: B

Rationale: The 75-year-old post-prostatectomy client's request to remove the catheter and urgency to urinate suggest potential catheter obstruction or bladder irritation, which could lead to complications like infection or bladder damage. This requires immediate assessment and intervention, taking priority over routine dressing changes, scheduled mobility, or pain management.

Question 3 of 5

A client on hospice home care is taking sips of water but refusing food. Family members appear distressed and insist that the personal care worker 'force feed' the client. What is the priority nursing action?

Correct Answer: A

Rationale: Explaining that anorexia is normal in dying (
A) addresses family distress and aligns with hospice goals. Exploring concerns (
B) is secondary, feeding tubes (
C) are inappropriate, and choking warnings (
D) may escalate distress.

Question 4 of 5

Which medication prescriptions should the nurse question? Select all that apply.

Correct Answer: A,C,E

Rationale: Cephalexin (
A) is contraindicated in penicillin allergy due to cross-reactivity risk. Ibuprofen (
C) can trigger bronchospasm in aspirin-exacerbated respiratory disease, common in asthma with nasal polyps. Propranolol (E) is contraindicated in asthma due to beta-blockade causing bronchoconstriction. Fexofenadine (
B) is safe for hives, and lisinopril (
D) is appropriate for diabetes to protect kidneys.

Question 5 of 5

The nurse is caring for a 7 year-old child who is being discharged following a tonsillectomy. Which of the following instructions is appropriate for the nurse to teach the parents?

Correct Answer: A

Rationale: Report a persistent cough to the health care provider. Persistent coughing may indicate bleeding, which requires immediate attention.

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