NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
The nurse is reinforcing teaching to a client with a hiatal hernia. Which statement by the client indicates that further teaching is needed?
Correct Answer: D
Rationale: Weight lifting can increase intra-abdominal pressure, worsening hiatal hernia symptoms, indicating a need for further teaching. Raising the bed, staying upright post-meals, and considering surgery for persistent symptoms are correct management strategies.
Question 2 of 5
Which comment by the client is most significant in light of the fact that he has Ménière's disease?
Correct Answer: C
Rationale: Cigarette smoking has been shown to aggravate Ménière's disease. The client will be told to stop smoking to decrease the frequency and severity of Ménière's. Walking, listening to an IPOD or other electronic device, and exposure to noise have not been shown to be related to Ménière's disease.
Question 3 of 5
The home health nurse reviews the serum laboratory test results for a client with seizures. The phenytoin level is 27 mcg/mL. The client makes which statement that may indicate the presence of dose-related drug toxicity and prompt the nurse to notify the supervisory registered nurse?
Correct Answer: A
Rationale: A phenytoin level of 27 mcg/mL is above the therapeutic range (10-20 mcg/mL), indicating potential toxicity. Unsteadiness when walking suggests neurological toxicity, such as ataxia, which requires immediate reporting. Nocturia, metallic taste, and gingival hyperplasia are less urgent or unrelated.
Question 4 of 5
A new nurse on the unit notes that the nurse manager seems to be highly respected by the nursing staff. The new nurse is surprised when one of the nurses states: 'The manager makes all decisions and rarely asks for our input.' The best description of the nurse manager's management style is
Correct Answer: C
Rationale: Autocratic or authoritarian. The manager’s decision-making without staff input indicates an autocratic leadership style.
Question 5 of 5
Someone who has received a recent tattoo should be screened for:
Correct Answer: C
Rationale: Tattooing with non-sterile equipment risks transmission of hepatitis B or C, blood-borne pathogens. The other infections are not primarily associated with tattooing. Safety and Infection Control