NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
The nurse reviews the admission history of a 70-year-old client diagnosed with chronic obstructive pulmonary disease (COPD). Which of the following statements by the client does the nurse recognize as contributing to the development of COPD? Select all that apply.
Correct Answer: C, E
Rationale: Smoking (
C) is a primary cause of COPD. Occupational exposure to chemicals as a mechanic (E) is also a risk factor. Alcohol (
A), obesity (
B), and fast food (
D) are not directly linked to COPD.
Question 2 of 5
The nurse is assisting with the admission of a client who attempted suicide after being diagnosed with end-stage kidney disease. It would be a priority for the nurse to
Correct Answer: C
Rationale: Continuous one-to-one observation (
C) is the priority to ensure safety after a suicide attempt. Room assignment (
A), exploring feelings (
B), and mental status exam (
D) are secondary.
Question 3 of 5
The nurse administers subcutaneous insulin lispro at 0730 to a client as prescribed and the client consumes breakfast 30 minutes later. At what time is the client at highest risk for experiencing insulin-related hypoglycemia?
Correct Answer: B
Rationale: Insulin lispro peaks 1-2 hours after administration, so 1100 (
B), about 3.5 hours post-injection, is the highest risk time for hypoglycemia.
Question 4 of 5
The nurse is talking with a client with atrial fibrillation who has a new prescription for dabigatran. Which of the following statements by the client would require follow-up?
Correct Answer: D
Rationale: Dabigatran does not require routine blood monitoring (
D), unlike warfarin, so this statement requires follow-up. Soft toothbrush (
A), reporting bleeding (
B), and swallowing whole (
C) are correct.
Question 5 of 5
A client with Addison's disease will most likely exhibit which symptom?
Correct Answer: B
Rationale: A bronze pigmentation is a sign of Addison's disease. Answers A, C, and D are symptoms of Cushing's syndrome, making them incorrect.