NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Question 1 of 5
The nurse is screening clients for those at risk of developing nephrolithiasis. Which of the following factors would increase a client's risk of developing nephrolithiasis?
Correct Answer: A,B,E
Rationale: Gout (
A), dehydration (
B), and hyperparathyroidism (E) increase nephrolithiasis risk due to uric acid, concentrated urine, and calcium imbalances, respectively. Hypokalemia (
C) and thrombocytopenia (
D) are unrelated.
Question 2 of 5
The nurse is caring for a child newly diagnosed with cystic fibrosis. What interventions does the nurse expect to be included in the client's multidisciplinary plan of care?
Correct Answer: A,B,E
Rationale: Chest physiotherapy (
A) clears mucus, genetic counseling (
B) addresses hereditary aspects, and spiritual support (E) aids coping. A high-calorie diet, not low-calorie (
C), is needed for nutrition. Fluid restriction (
D) is inappropriate, as hydration is encouraged.
Question 3 of 5
The nurse is collecting data from a client with suspected panic disorder. Which of the following findings would be consistent with the condition?
Correct Answer: A,B,D,E
Rationale: Panic disorder is characterized by sudden, intense fear accompanied by physical symptoms such as sweating (
A), dizziness (
B), heart palpitations (
D), and shortness of breath (E). Compulsions (
C) are associated with obsessive-compulsive disorder, not panic disorder.
Question 4 of 5
The nurse is caring for a client with rheumatoid arthritis. Which of the following lifestyle modifications should the nurse recommend to the client?
Correct Answer: B,C,E
Rationale: Rest (
B), range-of-motion exercises (
C), and moist heat (E) manage rheumatoid arthritis symptoms. Ice (
A) can reduce inflammation, and a pillow under knees (
D) may worsen stiffness.
Extract:
Vital signs
Blood pressure 105/60 mm Hg
Heart rate 80/min
Respirations 22/min
SpO2 90% on room air
Nurse notes
The client has a history of coronary artery disease and peripheral vascular disease. Nursing assessment reveals crackles in middle & lower lung fields, moderate jugular venous distension, and 3+ pedal edema.
Medications
Enoxaparin: 30 mg subcutaneous once daily
Metoprolol: 50 mg PO twice a day
Furosemide: 40 mg PO twice daily
Atorvastatin: 20 mg PO once daily
Question 5 of 5
The nurse is preparing to administer medications to a client with acute decompensated heart failure. Which of the following medications should the nurse hold for clarification prior to administering?
Correct Answer: D
Rationale: Metoprolol (
D) may worsen acute decompensated heart failure by reducing cardiac output, requiring clarification. Furosemide (
C) treats fluid overload, enoxaparin (
B) prevents thrombosis, and atorvastatin (
A) manages lipids.