NCLEX-PN
PN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
Which statement made by a nurse about the goal of total quality management or continuous quality improvement in a health care setting is correct?
Correct Answer: B
Rationale: Improvement of the processes in a proactive, preventive mode is paramount.
Total quality management and continuous quality improvement have a major goal of identifying ways to do the right thing at the right time in the right way by proactive problem-solving.
Question 2 of 5
Propranolol is prescribed for an adult suspected to have Graves' disease. The nurse explains to the client that propranolol is prescribed for which purpose?
Correct Answer: D
Rationale: Propranolol, a beta-blocker, slows heart rate, controlling tachycardia in Graves' disease (hyperthyroidism). It does not affect thyroid activity, provide hormones, or regulate metabolism.
Question 3 of 5
A client diagnosed with metastatic cancer of the bone is exhibiting mental confusion and a BP of 160/100. Which laboratory value would correlate with the client's symptoms reflecting a common complication with this diagnosis?
Correct Answer: B
Rationale: Hypercalcemia is a common occurrence with cancer of the bone. The potassium level is elevated but does not relate to the diagnosis, so answer A is incorrect. Answers C and D are both normal levels, so they are incorrect.
Question 4 of 5
All of the following clients are on the unit. Which one is most likely to develop urinary retention?
Correct Answer: C
Rationale: Abdominal hysterectomy involves pelvic manipulation, increasing urinary retention risk due to bladder trauma or nerve disruption. Other surgeries pose lower risk.
Question 5 of 5
The nurse is caring for a client with a long leg cast. During discharge teaching about appropriate exercises for the affected extremity, the nurse should recommend exercises
Correct Answer: A
Rationale: Isometric. The nurse should instruct the client on isometric exercises for the muscles of the casted extremity, i.e., instruct the client to alternately contract and relax muscles without moving the affected part.