NCLEX Questions, PN NCLEX Practice Exam Questions, NCLEX-PN Questions, Nurselytic

Questions 164

NCLEX-PN

NCLEX-PN Test Bank

PN NCLEX Practice Exam Questions

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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

Thirty-six hours after major surgery, a client has a temperature of 100°F. What is the most likely cause of the temperature elevation?

Correct Answer: B

Rationale: Atelectasis, due to reduced lung expansion post-surgery, is a common cause of low-grade fever within 24–48 hours. Dehydration, wound infection (typically later), or bladder infection are less likely without specific symptoms.

Question 3 of 5

The practical nurse is performing a physical examination with the registered nurse on a 2-year-old with cold symptoms and a fever at home of 101.7 F (38.7 C). Which interventions will enhance the child's cooperation during the examination? Select all that apply.

Correct Answer: A,B,C,D

Rationale: Playing with the stethoscope (
A), starting in the parent's lap (
B), friendly interaction (
C), and using a puppet (
D) reduce anxiety and enhance cooperation. Vital signs (E) may distress the child if done first.

Question 4 of 5

While assisting a doctor with a sterile dressing change, the nurse notices that the doctor has contaminated his left hand. Which action should the nurse take?

Correct Answer: B

Rationale: Telling the doctor about the contamination maintains sterility and patient safety. Handing gloves assumes he noticed. Antibiotics are not a substitute for sterility. Reporting is secondary to immediate action.

Question 5 of 5

The client is admitted for a bronchoscopy this morning. Which question is essential for the nurse to ask the client?

Correct Answer: A

Rationale: Bronchoscopy requires NPO status to prevent aspiration; confirming last intake is essential. Laxatives, procedure knowledge, or sedation history are secondary.

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