NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Question 1 of 5
The nurse is talking with the parents of a 4-year-old client. The parents are concerned because the client was previously toilet trained but has started wetting the bed again while hospitalized. Which of the following responses would be most appropriate for the nurse to make?
Correct Answer: D
Rationale: Regression, such as bedwetting, is common in hospitalized children due to stress (
D). Reinforcing toileting behaviors (
A) may help but doesn't address the underlying cause. Fluid restriction (
B) is not appropriate without medical indication. Assuming misbehavior (
C) dismisses the emotional impact of hospitalization.
Question 2 of 5
An elderly client is admitted with an acute exacerbation of chronic obstructive pulmonary disease. Pulse oximetry is 84% on room air. The client is restless, has expiratory wheezing and a productive cough, and is using the accessory muscles to breathe. Which prescription should the nurse question?
Correct Answer: C
Rationale: Morphine (
C) can depress respiration in COPD, worsening hypoxia, and should be questioned. Albuterol (
A) relieves bronchospasm, methylprednisolone (
B) reduces inflammation, and oxygen (
D) addresses hypoxia, all appropriate for COPD exacerbation.
Question 3 of 5
The nurse is observing a nursing assistant move a client from bed to chair. Which action by the nursing assistant indicates a lack of understanding about transfer techniques?
Correct Answer: A
Rationale: Bending from the waist risks back injury, indicating improper technique. Wide stance, whole-body turning, and seeking help are correct.
Question 4 of 5
The nurse is caring for a client with benign prostatic hypertrophy (BPH). Which of the following assessments would the nurse anticipate finding?
Correct Answer: C
Rationale: Frequent urination. BPH causes overflow incontinence with frequent urination in small amounts due to bladder obstruction.
Question 5 of 5
The nurse is providing home care to an elderly woman who had a cerebrovascular accident several weeks ago. All of the following need to be done. Which should the nurse plan to do first?
Correct Answer: A
Rationale: Auscultating lung fields assesses respiratory status, a priority post-CVA to detect complications like pneumonia or atelectasis. Hygienic care, ambulation, and ROM are secondary.