NCLEX-PN
NCLEX PN Exam Practice Test Questions
Extract:
Question 1 of 5
The nurse is preparing medication for 4 clients on a respiratory medical-surgical unit. Which situation would prompt the nurse to clarify the prescribed treatment with the health care provider?
Correct Answer: A
Rationale: Acetylcysteine is used for mucus thinning, not bronchospasm, which requires bronchodilators. The other medications are appropriate for their respective conditions.
Question 2 of 5
The nurse is preparing to perform wound irrigation for a client who sustained a scalp laceration. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Irrigation should flow from the least to most contaminated area to prevent infection spread. Other options are incorrect techniques.
Question 3 of 5
The nurse is talking to a group of clients who are postmenopause. Which of the following statements would be appropriate for the nurse to make? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Monitoring cholesterol, increasing nutrient-rich foods, seeking emotional support, and weight-bearing exercise are appropriate for postmenopausal health. Vaginal bleeding is not normal and requires evaluation.
Question 4 of 5
An African American client comes to the clinic for a follow-up visit 2 months after starting enalapril for hypertension. Which client statement should be reported to the health care provider immediately?
Correct Answer: D
Rationale: A thicker tongue may indicate angioedema, a rare but life-threatening side effect of enalapril (an ACE inhibitor), requiring immediate reporting. A (dry cough) and C (dizziness) are common side effects that warrant monitoring but are less urgent. B indicates suboptimal blood pressure control, which requires follow-up but is not immediately life-threatening.
Question 5 of 5
The physician has ordered a minimal bacteria diet on a client with neutropenia. Which seasoning is not permitted for this client?
Correct Answer: C
Rationale: A minimal bacteria diet for neutropenic clients avoids foods that may harbor bacteria, such as raw or undercooked foods and certain seasonings like pepper, which can contain mold or bacteria. Salt , lemon juice , and ketchup are generally processed and less likely to pose a bacterial risk.