NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
Which information should be included in the nurse's shift report?
Correct Answer: C
Rationale: Although all of these may be correct information to include in report, the essential piece would be the urine output, as it indicates the client's fluid status and response to treatment.
Question 2 of 5
The nurse is reinforcing teaching on nutritional therapy for a client with chronic kidney disease. Which statement indicates that further teaching is needed?
Correct Answer: B
Rationale: Salt substitutes often contain potassium, which is restricted in chronic kidney disease due to impaired kidney excretion. This statement indicates a misunderstanding. The other statements correctly reflect sodium restriction, phosphorus restriction, and fluid intake considerations.
Question 3 of 5
The nurse is making a home visit to a client with chronic obstructive pulmonary disease (COPD). The client tells the nurse that he used to be able to walk from the house to the mailbox without difficulty. Now, he has to pause to catch his breath halfway through the trip. Which diagnosis would be most appropriate for this client based on this assessment?
Correct Answer: A
Rationale: Activity intolerance caused by fatigue related to chronic tissue hypoxia. This reflects the client's reduced capacity for physical activity due to COPD.
Question 4 of 5
The nurse is caring for a client with left ventricular heart failure. Which one of the following assessments is an early indication of inadequate oxygen transport?
Correct Answer: B
Rationale: Confusion and restlessness. Neurological changes, including impaired mental status, are early signs of inadequate oxygenation.
Question 5 of 5
The nurse in the emergency department is caring for a client who is experiencing an acute exacerbation of asthma. Which of the following medications should the nurse expect to administer?
Correct Answer: A
Rationale: Nebulized albuterol, a short-acting beta-agonist, rapidly relieves bronchospasm in acute asthma exacerbations. Montelukast is for maintenance, methylprednisolone is slower-acting, ipratropium is secondary, and salmeterol is long-acting, not for acute relief.