NCLEX-PN
NCLEX PN Exam Practice Test Questions
Extract:
Question 1 of 5
Which of the following should the nurse teach the client to avoid when taking chlorpromazine HCL (Thorazine)?
Correct Answer: A
Rationale: Direct sunlight. Phenothiazines increase sensitivity to the sun, making clients especially susceptible to sunburn.
Question 2 of 5
A client has been tentatively diagnosed with Graves' disease (hyperthyroidism). Which of these findings noted on the initial nursing assessment requires quick intervention by the nurse?
Correct Answer: C
Rationale: Exophthalmos or protruding eyeballs is a distinctive characteristic of Graves' Disease. It can result in corneal abrasions with severe eye pain or damage when the eyelid is unable to blink down over the protruding eyeball. Eye drops or ointment may be needed.
Question 3 of 5
The nurse is screening clients for those at risk of developing syndrome of inappropriate antidiuretic hormone (SIADH). The nurse should recognize that the client at highest risk for developing SIADH is a client with
Correct Answer: B
Rationale: Small cell lung cancer is strongly associated with SIADH due to ectopic ADH production. Other conditions listed are not significant risk factors.
Extract:
Laboratory reference ranges
WBC
5000–10,000/mm³
(5–10 × 10⁹/L)
Question 4 of 5
The nurse is caring for 4 clients. Which client should the nurse see first?
Correct Answer: A
Rationale: Weak pulses and mottled skin suggest vascular compromise, a life-threatening complication requiring immediate attention. The other conditions are less urgent.
Extract:
Question 5 of 5
There is a train wreck causing 46 casualties. The nurse is asking personnel on the floor to suggest clients who could be discharged to make room for casualties. Which client would be best for the LPN to suggest?
Correct Answer: B
Rationale: The client who had an open cholecystectomy two days ago is likely stable and closer to discharge compared to those with recent major surgeries or ongoing radiation, which require specialized care.