NCLEX-PN
NCLEX PN Exam Practice Test Questions
Extract:
Question 1 of 5
Which of the following meals provides the lowest amount of potassium?
Correct Answer: B
Rationale:
Toast, jelly, and soft-boiled egg are low in potassium compared to fruits like oranges, grapefruit, or melon, which are high in potassium.
Question 2 of 5
A child with croup is placed in a cool, high-humidity tent connected to room air. The primary purpose of the tent is to:
Correct Answer: D
Rationale: A cool, high-humidity tent liquefies secretions and relieves laryngeal spasm in croup, easing breathing. It does not primarily prevent water loss, deliver 30% oxygen, or reduce fever.
Question 3 of 5
The nurse in the emergency department is caring for assigned clients. The nurse should recognize that which of the following clients meets the criteria for involuntary admission to the mental health unit? Select all that apply.
Correct Answer: A,C
Rationale: Refusal of food and fluids for 4 days indicates imminent risk of harm to self due to dehydration and malnutrition, meeting involuntary admission criteria. 3: Threats of violence suggest potential harm to others, justifying involuntary admission. 2 does not indicate immediate risk, as the client is medication-compliant. 4 reflects unusual behavior but not immediate danger. 5 does not inherently indicate a psychiatric emergency requiring involuntary admission.
Question 4 of 5
The nurses on a unit are planning for stoma care for clients who have a stoma for fecal diversion. Which stomal diversion poses the highest risk for skin breakdown?
Correct Answer: A
Rationale: Ileostomy output contains caustic gastric and enzymatic agents that can denude skin quickly.
Question 5 of 5
The nurse is caring for a client who has a C6 spinal cord injury. He complains of blurred vision and a severe headache. His blood pressure is 210/140. What action should the nurse take initially?
Correct Answer: A
Rationale: Symptoms and hypertension suggest autonomic dysreflexia, often triggered by bladder distention in spinal cord injury. Checking and relieving distention is the initial action.