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NCLEX PN Practice Test Questions

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Question 1 of 5

The nurse reinforces teaching about self-management strategies for a client with urge incontinence. Which of the following statements indicate that teaching has been effective? Select all that apply.

Correct Answer: A,B,D,E

Rationale: Weight loss (
A) reduces bladder pressure, oxybutynin’s dry mouth side effect (
B) is correct, Kegel exercises (
D) strengthen pelvic floor muscles, and scheduled voiding (E) prevents urgency. Caffeine (
C) irritates the bladder, worsening incontinence, indicating ineffective teaching.

Question 2 of 5

The clinic nurse cares for a 4-year-old who has been diagnosed with a pinworm infection. Which client symptom supports this diagnosis?

Correct Answer: A

Rationale: Pinworms cause anal itching, worse at night (
A), due to female worms laying eggs. Bleeding (
B), appetite loss (
C), and skin lesions (
D) are not typical, suggesting other conditions like hookworms or dermatitis.

Question 3 of 5

Which statements involve acceptable use of an abbreviation, symbol, or dose designation in documentation? Select all that apply.

Correct Answer: A

Rationale: Metric units (
A), decimal doses (
C), and QID (E) are clear and acceptable. 'u' (
B) risks confusion with '0,' and 'pc' with 'c/o' (
D) are ambiguous, per safety standards.

Question 4 of 5

A client with active pulmonary tuberculosis is prescribed 4-drug therapy with ethambutol. The nurse reinforces previous teaching to notify the health care provider immediately if which adverse effect associated with ethambutol occurs?

Correct Answer: A

Rationale: Ethambutol can cause optic neuritis, leading to blurred vision (
A), a serious side effect requiring immediate reporting. Dark urine (
B), hearing loss (
C), and jaundice (
D) are associated with other TB drugs (e.g., rifampin, isoniazid).

Question 5 of 5

A client in labor with a history of a previous cesarean birth has chosen to attempt a vaginal birth. During labor, which finding would be most concerning to the nurse?

Correct Answer: A

Rationale: Cessation of contractions with maternal tachycardia (
A) suggests uterine rupture, a life-threatening emergency in VBAC due to scar dehiscence. Fetal tachycardia (
B) is concerning but less specific, anxiety (
C) is expected, and regular contractions (
D) are normal.

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