NCLEX-PN
PN NCLEX Practice Test Questions
Extract:
Question 1 of 5
Which situations would prompt the health care team to use the client’s advance directive to make a decision regarding care? Select all that apply.
Correct Answer: B,D
Rationale: Advance directives guide care when clients cannot communicate decisions, as with a GCS of 3 (unconscious) or aphasia from hemorrhage. Paraplegia, religious refusal, and ventilator use in an oriented client do not impair decision-making capacity.
Question 2 of 5
For a 6 year-old child hospitalized with moderate edema and mild hypertension associated with acute glomerulonephritis (AGN), which one of the following nursing interventions would be appropriate?
Correct Answer: A
Rationale: Institute seizure precautions. The severity of AGN is unpredictable, and complications like seizures may occur due to hypertension.
Question 3 of 5
A school nurse is advising a class of unwed pregnant high school students. What is the most important action they can perform to deliver a healthy child?
Correct Answer: A
Rationale: Maintain good nutrition. Adequate nutrition, especially protein, vitamins, and iron, is critical for healthy fetal development and reducing low-birth-weight risks.
Question 4 of 5
The nurse is talking with a group of clients at a community health fair about colorectal cancer. Which of the following statements would be appropriate for the nurse to make? Select all that apply.
Correct Answer: B,C,D,E
Rationale: Low red meat, high fruit/vegetable intake, and healthy weight reduce colorectal cancer risk. Inflammatory bowel disease and family history increase risk, necessitating earlier screenings. Risk rises after age 50, but health status matters, making the first statement inaccurate.
Question 5 of 5
The nurse in an outpatient clinic is caring for a client at 34 weeks gestation. The client is taking ferrous sulfate for anemia and reports constipation. Which of the following recommendations should the nurse reinforce for this client? Select all that apply.
Correct Answer: B,C
Rationale: Fruits and vegetables provide fiber, and exercise promotes bowel motility, relieving constipation. Dairy may worsen constipation, stimulant laxatives are not first-line in pregnancy, and coffee is not a primary solution.