NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Question 1 of 5
The nurse receives the handoff of care report on four clients. Which client should the nurse see first?
Correct Answer: D
Rationale: Restlessness in a pneumonia client with low SpO2 (
D) suggests worsening hypoxia, requiring immediate assessment. Severe pain (
A) is urgent but stable. Pleural effusion (
B) and fever (
C) are less critical.
Question 2 of 5
The nurse cares for a client diagnosed with Addison disease. Which clinical finding would the nurse anticipate?
Correct Answer: D
Rationale: Addison disease causes weight loss (
D) due to cortisol deficiency. Acanthosis nigricans (
A), hirsutism (
B), and truncal obesity (
C) are associated with other endocrine disorders.
Question 3 of 5
The client with a colostomy does not feel that the irrigating solution has drained completely. The nurse can enhance the effectiveness of the colostomy irrigation by telling the client to:
Correct Answer: A
Rationale: Gentle abdominal massage can stimulate peristalsis and help the irrigation solution drain completely from the colostomy. Reducing solution or using a heating pad is not standard, and increasing oral intake is unrelated.
Question 4 of 5
The nurse is teaching a client newly diagnosed with asthma how to use the metered-dose inhaler (MDI). The client asks when they will know the canister is empty. The best response is
Correct Answer: A
Rationale: Dropping the canister into a bowl of water assesses the amount of medication remaining in a metered-dose inhaler. The client should obtain a refill when the inhaler rises to the surface and begins to tip over.
Question 5 of 5
An ambulatory client reports edema during the day in his feet and ankles that disappears while sleeping at night. What is the most appropriate follow-up question for the nurse to ask?
Correct Answer: B
Rationale: Do you become short of breath during your normal daily activities? This assesses for activity intolerance, a symptom of right-sided heart failure causing edema.