NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
The nurse is reviewing dietary teaching with a client who has chronic kidney disease. Which of the following statements by the client would indicate a correct understanding of the teaching? Select all that apply.
Correct Answer: D
Rationale: Using herbs instead of salt reduces sodium intake, which is critical in chronic kidney disease to manage fluid retention and blood pressure. Salt substitutes often contain potassium, which is restricted; raisins, bran, and milk are high in potassium or phosphorus; and peanut butter and crackers are high in sodium and phosphorus.
Question 2 of 5
The nurse is to administer a tube feeding to an adult. What action is essential before administering the feeding?
Correct Answer: B
Rationale: Checking tube placement (e.g., pH testing, aspiration) prevents aspiration by ensuring the tube is in the stomach. Other actions are irrelevant or unsafe.
Extract:
Laboratory reference ranges
Glucose (fasting)
70–110 mg/dL
(3.9–6.1 mmol/L)
Question 3 of 5
A client with hypertension and type 2 diabetes has recently started taking chlorthalidone. Which report by the client is most concerning to the nurse?
Correct Answer: A
Rationale: Dizziness on standing suggests orthostatic hypotension, a serious side effect of chlorthalidone, which can lead to falls. Elevated glucose and muscle cramps are concerning but less urgent, and sunburn is unrelated.
Extract:
Question 4 of 5
A 10-year-old weighs 99 lb (44.9 kg) and has a BMI of 24.8 kg/m² (>95th percentile). The licensed practical nurse (LPN) is collaborating with the registered nurse (RN) to formulate a weight loss plan. Which is most important for the nurse to determine?
Correct Answer: D
Rationale: The family's readiness for change is critical, as it determines their willingness to adopt and sustain lifestyle changes necessary for weight loss. While activity, eating habits, and finances are important, motivation drives success.
Question 5 of 5
A client with terminal cancer becomes hypoxic and unresponsive. According to the client’s paperwork, the client’s sister is the legal medical power of attorney. Both the client’s spouse and sister are present. Which action by the nurse is appropriate at this time?
Correct Answer: B
Rationale: The sister, as the legal medical power of attorney, is authorized to make healthcare decisions when the client is unresponsive. Consulting the spouse is inappropriate, intubation may not align with the client’s wishes, and a living will is not required as the sister has decision-making authority.