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NCLEX PN Practice Test Questions

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Question 1 of 5

The nurse is talking with a client with macular degeneration. Which of the following statements by the client would be consistent with the condition?

Correct Answer: C

Rationale: Macular degeneration affects central vision, causing a blurry or dark spot in the visual field, as described in (
C), due to damage to the macula. Flashes of light (
A) suggest retinal issues, peripheral vision loss (
B) is typical of glaucoma, and difficulty reading up close (
D) relates to presbyopia.

Question 2 of 5

A client with emphysema comes for a routine follow-up visit. The nurse assisting with the initial assessment knows that which manifestations are characteristic of emphysema? Select all that apply.

Correct Answer: A,C,D

Rationale: Emphysema causes air trapping, leading to barrel chest (
A), reduced exercise capacity (
C), and diminished breath sounds (
D). Crackles (
B) suggest fluid, and sputum (E) is more typical of chronic bronchitis.

Question 3 of 5

A client is being discharged after receiving an implantable cardioverter defibrillator. Which statement by the client indicates that teaching has been effective?

Correct Answer: B

Rationale: Avoiding hair-fixing (
B) prevents arm movement that could dislodge leads, showing effective teaching. Device firing (
A) can be uncomfortable, driving (
C) is restricted temporarily, and air travel (
D) is generally safe with precautions.

Question 4 of 5

The nurse observes a client using a walker. Which observation indicates that the client needs more instruction?

Correct Answer: A

Rationale: Using the walker to pull up risks tipping, indicating improper use and a need for further instruction on safe walker technique.

Question 5 of 5

The practical nurse on the mental health unit is planning care with the registered nurse. Which client should be seen first?

Correct Answer: B

Rationale: Suicidal ideation with a plan (
B) poses an immediate safety risk, requiring urgent assessment despite one-to-one observation. Bulimia (
A) and schizophrenia (
D) behaviors need monitoring but are less acute. OCD refusal (
C) is a lower priority, as it does not indicate immediate harm.

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The nurse reinforces teaching about self-management strategies for a client with urge incontinence. Which of the following statements indicate that teaching has been effective? Select all that apply.
The nurse is talking with the parent of a 15-month-old client who is scheduled to receive the varicella vaccine. Which of the following statements would be appropriate for the nurse to make? Select all that apply.
Which of the following activities is most suitable for a 10-year old with asthma?

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