NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
The nurse is talking with a client with obesity who has a new prescription for a lipase inhibitor. Which of the following statements by the client would require follow-up?
Correct Answer: A
Rationale: Lipase inhibitors like orlistat should be taken with or within an hour of meals containing fat, not on an empty stomach, to effectively block fat absorption. The other statements are correct: low-fat diet minimizes side effects, oily stools and flatulence are common, and vitamins should be timed to avoid malabsorption.
Extract:
Laboratory reference ranges
Glucose (fasting)
70–110 mg/dL
(3.9–6.1 mmol/L)
Question 2 of 5
The nurse is caring for a client with diabetes who is being discharged with a prescription for glyburide. Which statement by the client indicates a need for further instruction?
Correct Answer: D
Rationale: Glyburide stimulates insulin release to lower blood glucose but does not promote weight loss; it may cause weight gain. Avoiding alcohol, reporting hypoglycemia, and checking food labels are correct actions, indicating understanding.
Extract:
Question 3 of 5
The nurse is contributing to the plan of care for a client with diabetes who reports breast tenderness, vaginal discharge, and urinary frequency. Which action is most important to include in the plan of care?
Correct Answer: C
Rationale: Determining the date of the client's last menstrual period is critical to assess for pregnancy or menopausal changes, which could explain the symptoms and impact diabetes management. Breast self-exams and vaginal discharge characteristics are less urgent, and blood sugar logs, while important, are not directly related to the reported symptoms.
Question 4 of 5
The nurse has been assigned a client who is thought to be suicidal. All of the following are in the client's room. Which is safe to leave in the room?
Correct Answer: A
Rationale: A paper cup poses no suicide risk. Belts, razors, and pillows (potential suffocation) are unsafe in a suicidal client's room.
Question 5 of 5
A 55-year-old male client has a 16-Fr indwelling urethral catheter with a 5-mL balloon inserted to relieve postoperative urinary retention. The nurse observes urine leaking from the insertion site, past the catheter. What is the nurse's first action?
Correct Answer: A
Rationale: Checking the catheter and tubing first ensures there are no kinks, blockages, or improper placements causing the leak, which is a non-invasive and logical initial step. Irrigation or removal requires further assessment, and notifying the RN is premature without initial troubleshooting.