NCLEX-PN
NCLEX PN Test Questions
Extract:
Exhibit 1
Assessment data
0600 Wednesday 0600 Thursday
Blood pressure 148/84 mm Hg 98/60 mm Hg
24-hour intake/output 1000/3000 mL ---------------
Exhibit 2
Laboratory results
0600 Wednesday 0600 Thursday
Sodium
136-145 mEq/L
(136-145 mmol/L) 140 mEq/L
(140 mmol/L) 150 mEq/L
(150 mmol/L)
Potassium
3.5-5.0 mEq/L
(3.5-5.0 mmol/L) 4.2 mEq/L
(4.2 mmol/L) 3.5 mEq/L
(3.5 mmol/L)
Glucose (fasting)
70–110 mg/dL
(3.9–6.1 mmol/L) 90 mg/dL
(5 mmol/L) 99 mg/dL
(5.5 mmol/L)
Exhibit 3
Medication administration record
Allergies: None
Medications Thursday
Furosemide: 40 mg IVP, once daily 0700
Levofloxacin: 500 mg IV, once daily 0700
Glipizide: 5 mg orally, twice daily 0700-1700
Potassium chloride: 20 mEq/L orally, once daily 0700
Question 1 of 5
The nurse is preparing 7:00 AM medications for a client with a urinary tract infection and a history of heart failure and type 2 diabetes. Based on the information from the medical and medication records, which prescription should the nurse question before administering?
Correct Answer: A
Rationale: Furosemide in heart failure requires careful monitoring of fluid status and electrolytes, especially early in the day, to avoid exacerbating dehydration or hypotension. Glipizide, levofloxacin, and potassium chloride are appropriate for diabetes, UTI, and potential hypokalemia, respectively.
Extract:
Question 2 of 5
An adult has a substance abuse problem. Which statement, if made by the client, indicates the best understanding of the problem?
Correct Answer: D
Rationale: Calling a support group during distress shows understanding of ongoing recovery needs, leveraging resources to maintain sobriety.
Question 3 of 5
The nurse is caring for a client who had a laparoscopic cholecystectomy 3 days ago. The client's WBC count has increased over the past 2 days. Which assessment finding is most concerning?
Correct Answer: D
Rationale: A stiff abdomen with rebound tenderness suggests peritonitis, a life-threatening complication post-cholecystectomy, requiring immediate intervention. Shoulder pain is common due to referred pain, drainage and incision redness suggest localized infection, and a cough may indicate a respiratory issue, but peritonitis is most urgent.
Question 4 of 5
The nurse is caring for a client with schizophrenia who is experiencing auditory hallucinations and has a new prescription for an oral antipsychotic. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Instructing the client to ignore hallucinations helps them manage symptoms by redirecting focus, a practical coping strategy. Music or touch may exacerbate distress, and antipsychotics typically take days to weeks to reduce hallucinations, not hours.
Question 5 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.