NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
Which of the following nursing interventions is essential when caring for a client who is receiving Cyclophosphamide (Cytoxin)?
Correct Answer: B
Rationale: Cyclophosphamide can cause hemorrhagic cystitis; monitoring urine output is critical to detect blood in the urine and ensure adequate hydration.
Question 2 of 5
The nurse has reinforced teaching with a client with newly diagnosed psoriasis. Which of the following statements by the client would require follow-up?
Correct Answer: A
Rationale: Moderate sunlight exposure can improve psoriasis, so statement A is incorrect and requires follow-up. Avoiding scratching (
B), recognizing stress as a trigger (
C), and avoiding alcohol (
D) are accurate and align with psoriasis management.
Question 3 of 5
The nurse is speaking to a client who takes desmopressin nasal spray for diabetes insipidus. Which statement by the client is most important for the nurse to report to the health care provider?
Correct Answer: D
Rationale: Frequent headaches (
D) may indicate overmedication or hyponatremia, requiring urgent reporting. Fluid restriction (
A), colds (
B), and nasal pain (
C) are less critical.
Question 4 of 5
The nurse is caring for a client who is experiencing the cardiac rhythm in the ECG strip shown below. The nurse should recognize that the client is experiencing

Correct Answer: C
Rationale: Without the ECG strip, normal sinus rhythm (
C) is assumed for a stable client, characterized by regular P waves, QRS complexes, and a rate of 60-100 bpm. Other options indicate abnormal rhythms.
Question 5 of 5
The nurse preparing an educational seminar on sexually transmitted infections for female college students should advise that which 2 infections are leading causes of pelvic inflammatory disease and infertility?
Correct Answer: B
Rationale: Gonorrhea and chlamydia (
B) are bacterial infections that commonly cause pelvic inflammatory disease and infertility if untreated. Other options are less associated with these outcomes.