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.
Extract:
Vital signs
Temperature 95 F (35 C)
Blood pressure 90/50 mm Hg
Heart rate 50/min
Respirations 6/min
SpO2 83%
Question 2 of 5
The nurse is caring for a client with hypothyroidism who has become lethargic and difficult to rouse. Which action is the priority?
Correct Answer: B
Rationale: Lethargy and unresponsiveness in hypothyroidism suggest myxedema coma, requiring immediate airway management with ventilation (
B). Levothyroxine (
A), warming (
C), and lab review (
D) are secondary.
Extract:
Question 3 of 5
A woman is admitted with Hodgkin's disease. Which does the nurse expect the client to report?
Correct Answer: A
Rationale: Hodgkin's disease typically presents with painless swollen lymph nodes, a hallmark symptom the nurse should expect.
Question 4 of 5
The nurse is caring for a client who had a chest tube inserted and attached to portable water seal drainage two days ago. There is no bubbling in the water seal chamber. What should the nurse assess initially?
Correct Answer: C
Rationale: No bubbling may indicate lung reexpansion or system issues; auscultating lungs assesses reexpansion or complications like pneumothorax. Other assessments are secondary.
Question 5 of 5
The nurse is preparing to administer several medications through a client's feeding tube. None of the medications are extended release. Which of the following actions should the nurse implement? Select all that apply.
Correct Answer: B, C, D
Rationale: Crushing separately (
B) prevents interactions, liquid forms (
C) are preferred, and flushing (
D) ensures patency. Combining all medications (
A) or mixing with formula (E) can cause clogs or interactions.