NCLEX-PN
NCLEX PN Practice Test Questions
Extract:
Question 1 of 5
Which client is most at risk for methicillin-resistant Staphylococcus aureus infection?
Correct Answer: D
Rationale: The 80-year-old with a hemodialysis catheter in a long-term care facility (
D) is at highest risk for MRSA due to invasive devices, frequent healthcare exposure, and communal living. Others (A, B,
C) have lower risk profiles.
Question 2 of 5
A client with allergic rhinitis has an order for a long-acting nasal spray that contains oxymetazoline. The client should be instructed to use the spray as directed to prevent:
Correct Answer: B
Rationale: Overuse of oxymetazoline can cause rebound nasal congestion (rhinitis medicamentosa). It does not typically cause bleeding, nasal polyps, or tinnitus.
Question 3 of 5
A client diagnosed with trichomonal vaginal infection (trichomoniasis) is prescribed metronidazole. Which directions are essential for the nurse to reinforce? Select all that apply.
Correct Answer: A,D,E
Rationale: Metronidazole treatment for trichomoniasis requires specific instructions. Avoiding alcohol (
A) prevents a disulfiram-like reaction. Partner treatment (
D) is essential to prevent reinfection, as trichomoniasis is sexually transmitted. Urine discoloration (E) is a possible side effect to anticipate. Douching (
B) is not recommended, as it disrupts vaginal flora. Birth control pills (
C) do not prevent recurrence of this infection.
Extract:
Laboratory results
WBC
5000-10,000/mm³
(5-10 × 10⁹/L) 1400/mm3
(1.4 × 109/L)
Hemoglobin
Male: 14-18 g/dL
(140-180 g/L)
Female: 12-16 g/dL
(120-160 g/L) 10 g/dL
(100 g/L)
Absolute neutrophil count
2500-8000/mm³
(2.5-8 × 10⁹/L) 500/mm3
(0.5 × 109/L)
Potassium
3.5-5.0 mEq/L
(3.5-5.0 mmol/L) 3.4 mEq/L
(3.4 mmol/L)
Platelets
150,000-400,000/mm³
(150-400 × 10⁹/L) 150,000/mm3
(150 × 109/L)
Question 4 of 5
A client in the hospital is receiving chemotherapy. Based on today’s blood laboratory results, which of the following actions should the nurse take?
Correct Answer: D
Rationale: Chemotherapy often causes neutropenia, increasing infection risk. A face mask (
D) protects the client. Hematuria (
A), peaked T waves (
B), and epoetin (
C) address other issues not directly indicated.
Extract:
Question 5 of 5
The client with malignant left pleural effusion undergoes a thoracentesis and 900 mL of excess pleural fluid is removed. Which of these manifestations, if noted on the post-procedure assessment, should the nurse report to the health care provider immediately?
Correct Answer: A
Rationale: Asymmetrical chest expansion and decreased breath sounds (
A) suggest pneumothorax, a serious post-thoracentesis complication. Hypotension (
B), pain (
C), and mild tachypnea (
D) are less urgent or expected.