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 observes a client who is walking with a cane. Which observation indicates that the client is walking appropriately?
Correct Answer: C
Rationale: Holding the cane on the unaffected side and moving it with the affected leg provides optimal support and balance, coordinating strength with the weaker side.
Question 3 of 5
A client with multiple sclerosis plans to begin an exercise program. In addition to discussing the benefits of regular exercise, the nurse should caution the client to avoid activities which
Correct Answer: B
Rationale: lead to dehydration. The client must take in adequate fluids before and during exercise periods.
Question 4 of 5
The nurse is caring for a college football player who recently sustained an accidental, forceful, helmet-to-helmet collision with another running football player. Which sign/symptom is most concerning and alerts the practical nurse to contact the registered nurse immediately?
Correct Answer: B
Rationale: A 'halo' across vision (
B) suggests a serious neurological issue, such as a concussion or brain injury, requiring immediate attention. Epistaxis (
A), emesis (
C), and headache (
D) are concerning but less urgent unless persistent or worsening.
Question 5 of 5
The nurse shows an understanding of the psychological needs of a client in isolation when he:
Correct Answer: C
Rationale: Allowing phone calls meets the psychological need for social connection in isolation. Reading material is helpful but less critical, alternating staff may disrupt continuity, and limiting PPE compromises safety.