NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for clients in the student health center. A client confides to the nurse that the client's boyfriend informed her that he tested positive for hepatitis B. Which of the following responses by the nurse is BEST?
Correct Answer: D
Rationale: Hepatitis B is transmitted through sexual contact or parenteral routes. Assessing exposure by asking about unprotected sex is the best initial response to determine the client’s risk and guide further actions (e.g., testing, HBIG, or vaccination).
Choice A is empathetic but non-assessing, B and C assume exposure without confirmation, and D prioritizes assessment.
Question 2 of 5
Which psychological or personality factor is likely to predispose an individual to medication abuse?
Correct Answer: A
Rationale: Low self-esteem and repressed rage as well as depression can predispose an individual to search for solace in addictive medications. Usually, medications are used to minimize or blot out pain, rather than inflict additional pain. Personality disorders don't predispose a client to medication abuse; however, personality disorders, especially the antisocial ones, may be intensified by abuse.
Question 3 of 5
The nurse is monitoring the fluid status of a 63-year-old woman receiving IV fluids following surgery. Which of the following symptoms would suggest to the nurse that the patient has fluid volume overload?
Correct Answer: B
Rationale: Fluid volume overload is characterized by symptoms such as bounding pulse, elevated blood pressure, respiratory crackles (due to pulmonary edema), distended neck veins, edema, headache, polyuria, diarrhea, and liver enlargement.
Choice B includes respiratory crackles and a bounding pulse, which are hallmark signs.
Choice A suggests dehydration, choice C could have other causes, and choice D shows normal CVP and unrelated nystagmus.
Question 4 of 5
The nurse is caring for several clients who will be undergoing diagnostic tests. Which client must the nurse ask about allergies to shellfish? An adult who is scheduled for:
Correct Answer: B
Rationale: Shellfish allergies may indicate iodine sensitivity, critical for contrast dye used in CT scans, unlike MRI, EEG, or sleep studies.
Extract:
When teaching a client about antacid therapy
Question 5 of 5
The nurse should include the fact that antacid tablets:
Correct Answer: D
Rationale: Antacids can interfere with the absorption of other medications, requiring careful timing.