NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
The physician has ordered an oil retention enema and a cleansing enema for a client. How should the nurse plan to carry out these orders?
Correct Answer: B
Rationale: Oil retention enemas soften hardened stool, and cleansing enemas remove it. Administering the oil retention enema first allows time for stool softening, followed by the cleansing enema to evacuate it. Mixing or reversing the order is ineffective, and spacing over days is unnecessary.
Question 2 of 5
A patient is prescribed levothyroxine (Synthroid) for hypothyroidism. Which of the following instructions should the nurse include in the teaching plan?
Correct Answer: C
Rationale: Levothyroxine is best absorbed on an empty stomach, ensuring efficacy. Food or milk reduces absorption, and bedtime dosing is less critical than morning administration.
Question 3 of 5
The nurse is caring for clients in the student health center. A client confides to the nurse that the client's boyfriend informed her that he tested positive for hepatitis B. Which of the following responses by the nurse is BEST?
Correct Answer: D
Rationale: Hepatitis B is transmitted through sexual contact or parenteral routes. Assessing exposure by asking about unprotected sex is the best initial response to determine the client’s risk and guide further actions (e.g., testing, HBIG, or vaccination).
Choice A is empathetic but non-assessing, B and C assume exposure without confirmation, and D prioritizes assessment.
Question 4 of 5
The nurse is assessing a client with suspected hyperthyroidism. Which of the following findings would the nurse expect?
Correct Answer: B
Rationale: Hyperthyroidism increases metabolism, causing heat intolerance and tremors due to excess thyroid hormone. Weight gain (
A), bradycardia (
C), and dry skin (
D) are characteristic of hypothyroidism, not hyperthyroidism.
Question 5 of 5
A twenty-one year old man suffered a concussion and the MD ordered a MRI. The patient asks, 'Will they allow me to sit up during the MRI?' The correct response by the nurse should be.
Correct Answer: D
Rationale: The MRI will require supine positioning.