NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
The practical nurse is reinforcing discharge teaching to a client seen for treatment of a second episode of acute gout. Which instructions should be included to prevent future exacerbations? Select all that apply.
Correct Answer: A,D,E
Rationale: Healthy weight (
A), hydration (
D), and limiting alcohol (E) reduce uric acid levels and gout risk. Diet sodas (
B) are not directly linked, and avoiding all protein (
C) is unnecessary.
Question 2 of 5
The nurse is talking with a client who is scheduled for cardiac catheterization. Which of the following findings would be essential to follow up? Select all that apply.
Correct Answer: B,D,E
Rationale: Allergy to contrast (
B), recent metformin use (
D), and elevated creatinine (E) increase risks during cardiac catheterization (anaphylaxis, lactic acidosis, and renal injury). CRP (
A) and PR interval (
C) are less urgent.
Question 3 of 5
Phototherapy is ordered for a newborn with physiologic jaundice. The nurse caring for the infant should:
Correct Answer: B
Rationale: Applying an emollient prevents skin drying, a common issue during phototherapy due to exposure to light.
Question 4 of 5
The nurse is caring for all of the following persons. Which one is most in need of restraints?
Correct Answer: B
Rationale: The confused postoperative client risks dislodging critical tubes, necessitating restraints if non-restraint interventions fail. Others pose lower immediate risk.
Question 5 of 5
A client has many delusions. As the nurse helps the client prepare for breakfast the client comments 'Don't waste good food on me. I'm dying from this disease I have.' The appropriate response would be
Correct Answer: D
Rationale: This response does not challenge the client’s delusional system and thus forms an alliance by providing reassurance of desire to help the client.