NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
Which of these clients is at greatest risk for the complications associated with osteoporosis?
Correct Answer: C
Rationale: The 70-year-old postmenopausal woman has multiple risk factors: age, immobility, corticosteroid use, and alcohol consumption, maximizing osteoporosis complication risk.
Question 2 of 5
An adult is receiving daily doses of hydrocortisone. Which comment by the client indicates a need for further instruction?
Correct Answer: D
Rationale: Hydrocortisone does not require high salt or potassium restriction; this suggests misunderstanding, possibly confusing with other conditions. Morning dosing, not stopping abruptly, and taking with food are correct.
Question 3 of 5
The nurse is caring for a 4-year-old client with cystic fibrosis who uses a high-frequency chest wall oscillation (HFCWO) vest for chest physiotherapy. After reinforcing education with the client's parents, which statement by a parent requires further teaching?
Correct Answer: A
Rationale: Eating during HFCWO vest use can increase the risk of aspiration or reduce therapy effectiveness, indicating a need for further teaching. Bronchodilators during therapy, manual percussion as a backup, and the described frequency are appropriate.
Question 4 of 5
Nursing considerations when caring for African-American clients include that:
Correct Answer: B
Rationale: African-American clients may require specific hair, skin, and nail care due to unique characteristics, like curly hair or skin sensitivity. The other generalizations are inaccurate or stereotypical. Psychosocial Integrity
Question 5 of 5
A client is admitted with severe injuries from an auto accident. The client's vital signs are BP 120/50, pulse rate 110, and respiratory rate of 28. The initial nursing intervention would be to
Correct Answer: C
Rationale: Early findings of shock reveal hypoxia with rapid heart rate and rapid respirations, and oxygen is the most critical initial intervention. The other interventions are secondary to oxygen therapy.