NCLEX-PN
NCLEX PN Practice Test Questions
Extract:
Question 1 of 5
The nurse is providing dietary teaching for an elderly client living on fixed income. Which food choices would provide the client with needed nutrients and be cost effective?
Correct Answer: B
Rationale: Spinach, dried beans, and tomatoes are nutrient-rich (vitamins, protein, fiber) and cost-effective. Bacon , ham , and beef/cheese/milk are more expensive and less balanced.
Question 2 of 5
The client with malignant left pleural effusion undergoes a thoracentesis and 900 mL of excess pleural fluid is removed. Which of these manifestations, if noted on the post-procedure assessment, should the nurse report to the health care provider immediately?
Correct Answer: A
Rationale: Asymmetrical chest expansion and decreased breath sounds (
A) suggest pneumothorax, a serious post-thoracentesis complication. Hypotension (
B), pain (
C), and mild tachypnea (
D) are less urgent or expected.
Question 3 of 5
Which statements involve acceptable use of an abbreviation, symbol, or dose designation in documentation? Select all that apply.
Correct Answer: A
Rationale: Metric units (
A), decimal doses (
C), and QID (E) are clear and acceptable. 'u' (
B) risks confusion with '0,' and 'pc' with 'c/o' (
D) are ambiguous, per safety standards.
Question 4 of 5
The nurse prepares a client for discharge following a vasectomy. The client asks, 'When can I have sexual intercourse with my wife without using a condom?' What is the best response by the nurse?
Correct Answer: D
Rationale: A vasectomy requires confirmation of azoospermia via semen analysis, typically after 6-12 weeks or 15-20 ejaculations, to ensure sterility. Alternative birth control (
C) is needed until this confirmation. Immediate unprotected intercourse (
A) risks pregnancy, and 6 months (
B) is unnecessarily long.
Question 5 of 5
A client with a history of heart disease takes prophylactic aspirin daily. The nurse should monitor which of the following to prevent aspirin toxicity?
Correct Answer: D
Rationale: Serum albumin. When highly protein-bound drugs are administered to patients with low serum albumin (protein) levels, excess free (unbound) drug can cause exaggerated and dangerous effects.