NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
The nurse is speaking to a client who takes desmopressin nasal spray for diabetes insipidus. Which statement by the client is most important for the nurse to report to the health care provider?
Correct Answer: D
Rationale: Frequent headaches (
D) may indicate overmedication or hyponatremia, requiring urgent reporting. Fluid restriction (
A), colds (
B), and nasal pain (
C) are less critical.
Question 2 of 5
A client was admitted to the psychiatric unit after refusing to get out of bed. In the hospital the client talks to unseen people and voids on the floor. The nurse could best handle the problem of voiding on the floor by
Correct Answer: D
Rationale:
Toileting the client more frequently with supervision. This approach addresses the physical need in a client with altered thought processes.
Question 3 of 5
The clinic nurse is reinforcing client teaching about the tiotropium that has been prescribed for chronic obstructive pulmonary disease (COPD). Which statement indicates that the client has a correct understanding of this medication?
Correct Answer: A
Rationale: Tiotropium is a powder in a capsule used with an inhaler (
A). Rinsing the mouth (
B) is unnecessary, but it's taken daily, not PRN (
C), and it's a bronchodilator, not anti-inflammatory (
D).
Question 4 of 5
The nurse is caring for a client who has acute pericarditis. Which of the following findings would be a priority to follow up?
Correct Answer: B
Rationale: Muffled heart tones and jugular venous distension (
B) suggest pericardial effusion or tamponade, a life-threatening complication requiring urgent follow-up. Chest pain (
A) and friction rub (
C) are expected, and mild fever (
D) is less urgent.
Question 5 of 5
The nurse assists with data collection during a screening event at a gastroenterology clinic. Which of the following client statements include risk factors for esophageal cancer? Select all that apply.
Correct Answer: A,C,D
Rationale: Smoking cigars (
A), heavy alcohol use (
C), and chronic acid reflux (
D) are established risk factors for esophageal cancer. Obesity (
B) is a weaker risk, and salted foods (E) are not directly linked.