NCLEX-PN
NCLEX PN Practice Test Questions
Extract:
Question 1 of 5
Which situations require that the nurse report to an appropriate authority? Select all that apply.
Correct Answer: B,C,D,E
Rationale: Gonorrhea (
B) and syphilis (E) are reportable diseases, regardless of HIPAA. Suspected abuse in a teenager (
C) or elderly client (
D) mandates reporting, despite provider or client denial. Cupping (
A) is a cultural practice, not abuse.
Question 2 of 5
A client with allergic rhinitis has an order for a long-acting nasal spray that contains oxymetazoline. The client should be instructed to use the spray as directed to prevent:
Correct Answer: B
Rationale: Overuse of oxymetazoline can cause rebound nasal congestion (rhinitis medicamentosa). It does not typically cause bleeding, nasal polyps, or tinnitus.
Question 3 of 5
An adult is prescribed lovastatin (Mevacor). The nurse should teach the client that while he is taking lovastatin (Mevacor), he must avoid:
Correct Answer: B
Rationale: Grapefruit juice inhibits CYP3A4, increasing lovastatin levels and risking toxicity, such as myopathy. Apples, aspirin, and ibuprofen do not have significant interactions with lovastatin.
Extract:
Laboratory reference ranges
Glucose (random)
71-200 mg/dL
(3.9-11.1 mmol/L)
Question 4 of 5
A category 4 hurricane has affected a rural, local health care system, creating a significant increase in emergency department admissions. Which of the following clients should the nurse anticipate as the priority for intervention?
Correct Answer: A
Rationale: Status asthmaticus with 80% pulse oximetry (
A) indicates severe hypoxia, requiring immediate intervention to prevent respiratory failure. Headache post-collision (
B) and nausea in pregnancy (
C) are less acute, as they do not indicate immediate life-threatening conditions.
Extract:
Question 5 of 5
The nurse should recognize that physical dependence is accompanied by what findings when alcohol consumption is first reduced or ended?
Correct Answer: B
Rationale: Withdrawal. Early withdrawal symptoms, including nausea and tremor, appear within hours of reducing alcohol intake.