NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
The nurse is reinforcing teaching with a client who is having a 1-hour glucose tolerance test. Which statement by the client indicates a need for further teaching?
Correct Answer: A
Rationale: Fasting for 4 hours is incorrect; a 1-hour glucose tolerance test typically requires fasting for 8 hours. The other statements are correct: no eating for 1 hour after the glucose solution and a 3-hour test if results are elevated.
Question 2 of 5
A spouse brings a client with a history of previous suicide attempts to the emergency department due to erratic behavior and expressions of hopelessness. When the triage nurse asks if the client is having suicidal thoughts, the client shrugs their shoulders. What action should the triage nurse take?
Correct Answer: C
Rationale: Given the history of suicide attempts and current hopelessness, a noncommittal response like shrugging suggests a high suicide risk. One-to-one observation ensures safety. Documenting no suicidality is inaccurate, frequent observation is insufficient, and returning to the waiting room is unsafe.
Question 3 of 5
The nurse is caring for a client who has oral candidiasis. The nurse should expect that the client will be prescribed
Correct Answer: A
Rationale: Nystatin is an antifungal medication specifically used to treat oral candidiasis (thrush). Acyclovir treats viral infections, mupirocin is for bacterial skin infections, and griseofulvin treats fungal skin infections, not oral candidiasis.
Question 4 of 5
The nurse is caring for an adult who was admitted for observation following an automobile accident. The client has several lacerations that were sutured in the emergency room and a fractured leg that has been casted. The baseline vital signs are BP=120/72, P=76, and R=16. One hour after arriving on the unit, the client's vital signs are BP=108/68, P=90, and R=22. The nurse most correctly interprets these results to mean that the client may be developing which condition?
Correct Answer: A
Rationale: Decreased BP, increased pulse, and respirations suggest shock, possibly from occult bleeding or trauma response, requiring urgent evaluation.
Question 5 of 5
An elderly female is admitted with a fractured right femoral neck. Which assessment finding is expected?
Correct Answer: D
Rationale: The symptoms of this fracture include shortened, adducted, and external rotation. Answer A is incorrect because the patient usually is unable to move the leg due to pain. Answer B is incorrect because the symptom is adduction, not abduction. Answer C is wrong because it's external rotation, not internal rotation.