NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
The nurse is making a home visit to a client with chronic obstructive pulmonary disease (COPD). The client tells the nurse that he used to be able to walk from the house to the mailbox without difficulty. Now, he has to pause to catch his breath halfway through the trip. Which diagnosis would be most appropriate for this client based on this assessment?
Correct Answer: A
Rationale: Activity intolerance caused by fatigue related to chronic tissue hypoxia. This reflects the client's reduced capacity for physical activity due to COPD.
Question 2 of 5
The nurse is initiating a prescription for levothyroxine for a client with hypothyroidism. Which of the following actions would be most important for the nurse to take?
Correct Answer: B
Rationale: Levothyroxine is contraindicated in pregnancy without careful monitoring due to fetal risks, so confirming a negative pregnancy test is critical. Menstrual history is less urgent, mouth/throat assessment is unrelated, and teaching symptoms is important but secondary.
Question 3 of 5
The nurse is caring for a client who is scheduled for a cardiac stress test tomorrow. Prior to the stress test, the nurse should:
Correct Answer: B
Rationale: Caffeine can affect heart rate and test results, so it should be avoided before a stress test.
Question 4 of 5
A 62 year-old female is being seen on a home visit by a nurse. The patient reports she has been taking Premarin for years. Which of the following would indicate an over-dosage?
Correct Answer: A
Rationale: Edema in the lower extremities may indicate a Premarin (over-dosage).
Question 5 of 5
A nurse is making a home visit when a fire starts in the client’s kitchen trash can. The client has a fire extinguisher. The nurse should take which actions to properly operate the fire extinguisher? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Using the PASS technique (Pull, Aim, Squeeze, Sweep), the nurse should pull the pin, aim at the fire’s base, squeeze the handle, and sweep side to side to extinguish the fire. Shaking the canister is not required and may delay response.