NCLEX-PN
PN NCLEX Practice Test Questions
Extract:
Question 1 of 5
The nurse is reinforcing instructions to a client receiving oxybutynin for overactive bladder. Which client statement indicates that further teaching is required?
Correct Answer: A
Rationale: Planning a beach vacation suggests unawareness of oxybutynin’s heat intolerance side effect, increasing dehydration risk. Preventing constipation, avoiding driving, and adequate hydration are correct.
Question 2 of 5
The nurse is reviewing recommended dietary modifications with the parents of a 6-month-old client with phenylketonuria. Which of the following information should the nurse include? Select all that apply.
Correct Answer: A,B,D
Rationale: Phenylketonuria requires a lifelong low-phenylalanine diet, avoiding meat and dairy, and using special formula to prevent neurological damage. It is not self-limiting, and tyrosine is needed, not removed.
Question 3 of 5
The nurse is assessing for jaundice in a client who has dark skin. What is the best way to do this?
Correct Answer: B
Rationale: The sclera (white of the eyes) reliably shows yellowing in jaundice, even in dark skin, unlike stool color, nail beds, or fingers, which are less specific.
Question 4 of 5
The nurse is performing a gestational age assessment on a newborn delivered 2 hours ago. When coming to a conclusion using the Ballard scale, which of these factors may affect the score?
Correct Answer: C
Rationale: Fetal distress in labor. The effects of earlier distress may alter the findings of reflex responses as measured on the Ballard tool. Other physical characteristics that estimate gestational age, such as amount of lanugo, sole creases and ear cartilage are unaffected by the other factors.
Question 5 of 5
The nurse is reinforcing teaching for a client with hyperlipidemia who has a new prescription for simvastatin. The nurse should instruct the client to take simvastatin
Correct Answer: C
Rationale: Simvastatin is most effective at bedtime, when cholesterol synthesis peaks, and can be taken with or without food. Morning or afternoon dosing reduces efficacy.