NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
The nurse monitors a client who has followed a vegan diet for several years. Which client statement would indicate a possible complication resulting from a vegan diet?
Correct Answer: A
Rationale: Night vision disturbances suggest vitamin A deficiency, common in vegan diets lacking sufficient beta-carotene sources. Insomnia, scaly skin, and tingling are less specific to vegan diet complications, potentially relating to other causes like stress or neuropathy.
Question 2 of 5
Which of these clients is at greatest risk for the complications associated with osteoporosis?
Correct Answer: C
Rationale: The 70-year-old postmenopausal woman has multiple risk factors: age, immobility, corticosteroid use, and alcohol consumption, maximizing osteoporosis complication risk.
Question 3 of 5
Which comment by the client is most significant in light of the fact that he has Ménière's disease?
Correct Answer: C
Rationale: Cigarette smoking has been shown to aggravate Ménière's disease. The client will be told to stop smoking to decrease the frequency and severity of Ménière's. Walking, listening to an IPOD or other electronic device, and exposure to noise have not been shown to be related to Ménière's disease.
Question 4 of 5
A client goes to the Emergency Department with acute respiratory distress and the following arterial blood gases (ABGs): pH 7.35, PCO2 40 mmHg, PO2 63 mmHg, HCO3 23, and oxygenation saturation (SaO2) 93%. Which of the following represents the best analysis of the etiology of these ABGs?
Correct Answer: D
Rationale: Low PO2 (63 mmHg) and SaO2 (93%) indicate hypoxia, despite normal pH, PCO2, and HCO3. TB, pneumonia, or pleural effusion may cause hypoxia but are not the direct etiology shown by ABGs. Physiological Adaptation
Question 5 of 5
The emergency department nurse is caring for a client who requires gastric lavage for a drug overdose. Which action would be appropriate?
Correct Answer: C
Rationale: Preparing intubation and suction supplies ensures readiness for airway protection, as gastric lavage carries a risk of aspiration. Small-bore tubes are inadequate for lavage, Trendelenburg increases aspiration risk, and waiting an hour delays urgent treatment.