NCLEX-PN
NCLEX PN Practice Tests Questions
Extract:
Question 1 of 5
Which of the following is a common complaint of the client with end-stage renal failure?
Correct Answer: B
Rationale: Itching is common in end-stage renal failure due to uremia and phosphate accumulation. Weight loss , tinnitus , and bruising are less specific.
Question 2 of 5
The LPN is caring for all of the following women on the postpartum unit. Which situation requires further attention?
Correct Answer: B
Rationale: A fundus 3 cm above the umbilicus 12 hours postpartum suggests uterine atony or retained clots, requiring further assessment to prevent hemorrhage. Other findings are normal or less urgent.
Question 3 of 5
The clinic nurse evaluates a client’s response to levothyroxine after 8 weeks of treatment. What therapeutic responses to the medication should the nurse expect? Select all that apply.
Correct Answer: A,B,C
Rationale: Levothyroxine corrects hypothyroidism, normalizing heart rate (88/min), improving mood, and increasing energy. Skin should be warm/moist, and weight loss is expected, not gain.
Question 4 of 5
An adult asks the nurse what could be causing him to have a black tongue and black stools. The following items are in the client's history. Which is most likely to be causing his symptoms?
Correct Answer: A
Rationale: Bismuth subsalicylate commonly causes black tongue and stools, a harmless side effect, unlike the other options.
Question 5 of 5
During report, the nurse is given all of the following information. Which client should the nurse go to first?
Correct Answer: D
Rationale: Muscle spasms post-thyroidectomy suggest hypocalcemia from parathyroid injury, a potentially life-threatening emergency requiring immediate assessment. High glucose, pain, or crackles are less urgent.