NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
Thirty-six hours after major surgery, a client has a temperature of 100°F. What is the most likely cause of the temperature elevation?
Correct Answer: B
Rationale: Atelectasis, due to reduced lung expansion post-surgery, is a common cause of low-grade fever within 24–48 hours. Dehydration, wound infection (typically later), or bladder infection are less likely without specific symptoms.
Question 2 of 5
The home health nurse is providing long-term care to several clients. Which are examples of inappropriately crossing professional boundaries? Select all that apply.
Correct Answer: A,D,E
Rationale: Accepting expensive gifts (
A), soliciting investments (
D), and socializing with alcohol (E) violate professional boundaries. Offering to pray (
B) is acceptable if client-initiated, and a sympathy card (
C) is appropriate.
Question 3 of 5
A 15-month-old continually turns his cup upside down and shakes milk from the spout. The mother is convinced that he does this on purpose and asks the nurse what she should do. The nurse's response should be guided by the knowledge that:
Correct Answer: D
Rationale:
Toddlers explore spatial relationships through actions like shaking a cup, not necessarily to misbehave. Attention-seeking or punishment is less relevant.
Question 4 of 5
An 80-year-old client is prescribed codeine for a severe cough. The home health nurse is reinforcing instructions on how to prevent the common adverse effects associated with codeine. Which client statements indicate an understanding of how to prevent them? Select all that apply.
Correct Answer: B,D,E
Rationale: Drinking water (
B) prevents constipation, sitting before standing (
D) avoids orthostatic hypotension, and taking with food (E) reduces nausea. Sunscreen (
A) and decaf coffee (
C) are unrelated to codeine effects.
Question 5 of 5
Thirty-six hours after major surgery, a client has a temperature of 100°F. What is the most likely cause of the temperature elevation?
Correct Answer: B
Rationale: Atelectasis, due to reduced lung expansion post-surgery, is a common cause of low-grade fever within 24–48 hours. Dehydration, wound infection (typically later), or bladder infection are less likely without specific symptoms.