NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
Which nursing diagnosis is most appropriate for a client who has Cushing's syndrome?
Correct Answer: A
Rationale: Cushing's syndrome causes cortisol excess, leading to osteoporosis and increased fracture risk, making 'Risk for injury related to osteoporosis' the most appropriate diagnosis.
Question 2 of 5
The family of an 88-year-old woman who was admitted with severe dehydration says to the nurse, 'Why don't you just tie down her arms so she won't try to get out her IV?' What is the best response for the nurse to make?
Correct Answer: C
Rationale: Assessing mental status and safety needs determines if restraints are necessary, prioritizing least restrictive measures.
Question 3 of 5
A client who had bowel surgery is to be NPO for several days. The nurse anticipates that the client will have an order for:
Correct Answer: C
Rationale: Parenteral nutrition provides nutrients intravenously for clients NPO post-bowel surgery, bypassing the gastrointestinal tract.
Question 4 of 5
The nurse inserts a small bore nasogastric (NG) tube and prepares to initiate enteral feedings for a hospitalized client with laryngeal cancer. Which action should the nurse take first?
Correct Answer: D
Rationale: Verifying NG tube placement with an x-ray (
D) is the first step to ensure safety before feedings or medications. Other actions follow confirmation.
Question 5 of 5
A client is admitted with a diagnosis of hepatitis B. In reviewing the initial laboratory results, the nurse would expect to find elevation in which of the following values?
Correct Answer: C
Rationale: Bilirubin. Hepatitis B causes liver dysfunction, leading to elevated bilirubin levels.