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PN NCLEX Practice Exam Questions

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Question 1 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.

Question 2 of 5

The client with Cushing's disease will most likely exhibit signs of:

Correct Answer: A

Rationale: Cushing's disease causes hypercortisolism, leading to hypokalemia due to increased potassium excretion. Hypernatremia , hypocalcaemia , and hypermagnesemia are not typical in Cushing's disease.

Question 3 of 5

The nurse is talking with a client who is scheduled for cardiac catheterization. Which of the following findings would be essential to follow up? Select all that apply.

Correct Answer: B,D,E

Rationale: Allergy to contrast (
B), recent metformin use (
D), and elevated creatinine (E) increase risks during cardiac catheterization (anaphylaxis, lactic acidosis, and renal injury). CRP (
A) and PR interval (
C) are less urgent.

Question 4 of 5

An adult has been diagnosed with Bell's palsy and asks what causes it. The nurse knows that which of the following is correct?

Correct Answer: B

Rationale: The exact cause of Bell's palsy is unknown, though it may be associated with viral infections or inflammation, but not specifically chickenpox, flu, or trauma.

Question 5 of 5

An 87-year-old client has been admitted to the hospital with signs and symptoms of a urinary tract infection along with agitation, confusion, and disorientation to time and place. What is the most important nursing action?

Correct Answer: C

Rationale: One-on-one supervision (
C) ensures safety for a confused, agitated client at risk for falls or harm. Fluids (
A), side rails (
B), and dim lights (
D) are secondary or inappropriate.

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