NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
The nurse is collecting data from a client with primary adrenal insufficiency (Addison disease). Which of the following findings is consistent with the condition?
Correct Answer: A
Rationale: Bronze skin pigmentation (
A) is a hallmark of Addison disease due to increased ACTH stimulating melanocytes. Increased hair (
B) and supraclavicular fat pad (
D) are associated with Cushing syndrome, while striae (
C) are nonspecific but not typical of Addison disease.
Question 2 of 5
The nurse is observing a staff member talking with the parent of a pediatric client. The parent is crying and states, 'I do not know what to do about this situation with my child.' The staff member responds, 'I am sure you will do the right thing.' The nurse should recognize that the staff member's response
Correct Answer: C
Rationale: The response (
C) dismisses the parent's distress and provides false reassurance, lacking empathy. It does not express interest (
A), respect privacy (
B), or convey empathy (
D).
Question 3 of 5
The nurse is teaching a group of parents about gross motor development of a 2-year old. According to the Denver Developmental Screening Test, which behavior is an example of the normal gross motor skill of a 2-year old?
Correct Answer: A
Rationale: Pulling a toy is a gross motor skill for a 2-year-old per the Denver Test. Copying a line and building a tower of eight blocks are fine motor skills. Broad jumping develops later.
Question 4 of 5
An 80-year-old client is prescribed codeine for a severe cough. The home health nurse is reinforcing instructions on how to prevent the common adverse effects associated with codeine. Which client statements indicate an understanding of how to prevent them? Select all that apply.
Correct Answer: B,D,E
Rationale: Drinking water (
B) prevents constipation, sitting before standing (
D) avoids orthostatic hypotension, and taking with food (E) reduces nausea. Sunscreen (
A) and decaf coffee (
C) are unrelated to codeine effects.
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.