NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
Which of the following are violations of the Health Insurance Portability and Accountability Act regarding confidentiality of privileged health information? Select all that apply.
Correct Answer: A,C,D
Rationale: Sharing pregnancy results without consent (
A), calling names publicly (
C), and disclosing a diagnosis to non-care staff (
D) violate HIPAA. Overhearing through a curtain (
B) is unintentional, and a general farewell (E) is not a violation.
Question 2 of 5
A client with chronic heart failure is being discharged home on furosemide and supplementary potassium chloride tablets. Which instructions related to the potassium supplement should the nurse reinforce to the client?
Correct Answer: D
Rationale: Potassium chloride tablets should be taken with water and the client should remain upright to prevent esophageal irritation or ulceration (
D). Protein and vitamin D (
A) do not enhance absorption, crushing tablets (
B) can cause irritation, and taking on an empty stomach (
C) is unnecessary.
Question 3 of 5
A client with acquired immunodeficiency syndrome is admitted for treatment of wasting syndrome. Which of the following dietary modifications can be used to compensate for the limited absorptive capability of the intestinal tract?
Correct Answer: D
Rationale: Small, frequent meals are easier to digest and absorb, compensating for the limited absorptive capacity in wasting syndrome. Cooking foods thoroughly reduces infection risk but doesn't aid absorption. Yogurt and buttermilk may not be tolerated, and forcing fluids addresses hydration, not absorption.
Question 4 of 5
A client has been newly diagnosed with hypothyroidism and will take levothyroxine (Synthroid) 50 mcg/day by mouth. As part of the teaching plan, the nurse emphasizes that this medication:
Correct Answer: A
Rationale: Should be taken in the morning. Thyroid supplement should be taken in the morning to minimize the side effect of insomnia.
Question 5 of 5
Which of the following situations is most likely to produce sepsis in the neonate?
Correct Answer: B
Rationale: Prolonged rupture of membranes. Premature rupture of the membranes (PROM) is a leading cause of newborn sepsis. After 12-24 hours of leaking fluid, measures are taken to reduce the risk to mother and the fetus/newborn.