NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Question 1 of 5
The nurse is reinforcing teaching on self-administering ophthalmic lubricating ointment medication to a client with newly diagnosed Sjogren's syndrome. Which client statement indicates the need for further teaching?
Correct Answer: A
Rationale: Rubbing the eyes after applying ointment (
A) can cause irritation or displace the medication, indicating a need for further teaching. The other statements (B, C,
D) reflect correct administration techniques.
Question 2 of 5
The nurse recognizes that it is acceptable for which pair of clients to be assigned to share a semi-private room?
Correct Answer: D
Rationale: Clients with gastroenteritis and chemotherapy-induced diarrhea (
D) have similar non-airborne conditions, making them suitable roommates. Pneumonia (
B) and fever of unknown origin (
C) pose infection risks. Anemia and anorexia (
A) are unrelated but not optimal.
Question 3 of 5
A nurse is collecting data on a 58-year-old client with blurred vision and reduced visual fields. The nurse finds which manifestation most concerning?
Correct Answer: B
Rationale: Extreme eye pain (
B) suggests acute conditions like glaucoma, requiring urgent attention. Difficulty in dim light (
A), peripheral vision loss (
C), and cataracts (
D) are less acute.
Question 4 of 5
The nurse is caring for a client who is receiving peritoneal dialysis and is reporting chills and abdominal discomfort. The nurse notes rebound tenderness with palpation. Which of the following actions would be a priority for the nurse to take?
Correct Answer: A
Rationale: Chills, discomfort, and rebound tenderness suggest peritonitis, requiring fluid culture (
A). Warming dialysate (
B), pain medication (
C), and positioning (
D) do not address the infection.
Question 5 of 5
The nurse is caring for a client with heart failure who develops a persistent, dry cough after starting enalapril. Which of the following new prescriptions would the nurse anticipate for this client?
Correct Answer: D
Rationale: A dry cough is a common side effect of ACE inhibitors like enalapril, so switching to an ARB like valsartan (
D) is anticipated. Alprazolam (
A), guaifenesin (
B), and lisinopril (C, another ACE inhibitor) are inappropriate.