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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 diagnosed with endometrial cancer is receiving brachytherapy. Which interventions should the nurse anticipate for this client? Select all that apply.

Correct Answer: A,C,D,E

Rationale: Brachytherapy involves internal radiation, requiring precautions to minimize exposure. Clustering care (
A) reduces staff exposure time. Limiting visitor contact (
C) protects others from radiation. Protective shielding (
D) and radiation badges (E) ensure safety and monitor exposure. Ambulation (
B) is restricted to prevent dislodging the radiation source.

Question 3 of 5

The hospice nurse is providing end-of-life care to a client who is experiencing anorexia and cachexia. Which interventions are appropriate? Select all that apply.

Correct Answer: A,B,D,E

Rationale: Allowing food refusal (
A) respects autonomy, assessing pain/nausea (
B) addresses barriers to eating, shared mealtimes (
D) provide comfort, and oral care (E) improves appetite. Meal planning (
C) may overwhelm a cachectic client.

Question 4 of 5

A client with gout who was started on allopurinol a week ago calls the health care provider’s office with several concerns. The nurse should recognize which report by the client as being significant and requiring immediate follow-up?

Correct Answer: C

Rationale: A rash (
C) may indicate a hypersensitivity reaction to allopurinol, potentially progressing to severe conditions like Stevens-Johnson syndrome, requiring immediate follow-up. Ibuprofen (
A), urination (
B), and nausea (
D) are less urgent.

Question 5 of 5

Which situations require that the nurse report to an appropriate authority? Select all that apply.

Correct Answer: B,C,D,E

Rationale: Gonorrhea (
B) and syphilis (E) are reportable diseases, regardless of HIPAA. Suspected abuse in a teenager (
C) or elderly client (
D) mandates reporting, despite provider or client denial. Cupping (
A) is a cultural practice, not abuse.

Similar Questions

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A nurse prepared the 9:00 A.M. medications for his clients and then was called off the unit briefly before he was able to administer them. Who may administer the medications to the clients now?
Prior to discharge of a child with a ventriculoperitoneal (VP) shunt, the nurse reinforces teaching to the caregiver about when to contact the health care provider. The caregiver shows understanding of the instructions by contacting the health care provider about which symptom?
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.

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