NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
The nurse is talking with a group of parents about puberty. The nurse should include that the first sign of puberty in clients of the male sex is
Correct Answer: C
Rationale: Testicular enlargement (
C) is the first sign of puberty in males, occurring before height increase (
A), muscle mass gain (
B), or penile growth (
D).
Question 2 of 5
The practical nurse (PN) is assisting with a client who is undergoing labor induction with misoprostol. The PN notes late decelerations and minimal variability on the fetal heart rate monitor. After notifying the registered nurse, what should the PN do first?
Correct Answer: D
Rationale: Repositioning to a side-lying position (
D) improves placental perfusion, addressing late decelerations. Oxygen (
A) may follow, but repositioning is first. Perineal exam (
B) and palpation (
C) are less urgent.
Question 3 of 5
Which nursing diagnosis is most appropriate for a client who has Cushing's syndrome?
Correct Answer: A
Rationale: Cushing's syndrome causes cortisol excess, leading to osteoporosis and increased fracture risk, making 'Risk for injury related to osteoporosis' the most appropriate diagnosis.
Question 4 of 5
The practical nurse is reinforcing discharge teaching to a client seen for treatment of a second episode of acute gout. Which instructions should be included to prevent future exacerbations? Select all that apply.
Correct Answer: A,D,E
Rationale: Healthy weight (
A), hydration (
D), and limiting alcohol (E) reduce uric acid levels and gout risk. Diet sodas (
B) are not directly linked, and avoiding all protein (
C) is unnecessary.
Question 5 of 5
The nurse has completed teaching the client about his low-sodium, low-fat diet. Which menu, if selected by the client, would indicate to the nurse that the client understands his diet?
Correct Answer: C
Rationale: Baked chicken, wild rice, and broccoli are low in sodium and fat, aligning with the diet. Meatloaf, Hollandaise, and gravy/sour cream/creamed peas are high in sodium or fat.