NCLEX-PN
NCLEX PN Practice Test Questions
Extract:
Question 1 of 5
Which statements involve acceptable use of an abbreviation, symbol, or dose designation in documentation? Select all that apply.
Correct Answer: A
Rationale: Metric units (
A), decimal doses (
C), and QID (E) are clear and acceptable. 'u' (
B) risks confusion with '0,' and 'pc' with 'c/o' (
D) are ambiguous, per safety standards.
Question 2 of 5
The nurse is providing dietary teaching for an elderly client living on fixed income. Which food choices would provide the client with needed nutrients and be cost effective?
Correct Answer: B
Rationale: Spinach, dried beans, and tomatoes are nutrient-rich (vitamins, protein, fiber) and cost-effective. Bacon , ham , and beef/cheese/milk are more expensive and less balanced.
Question 3 of 5
A client diagnosed with trichomonal vaginal infection (trichomoniasis) is prescribed metronidazole. Which directions are essential for the nurse to reinforce? Select all that apply.
Correct Answer: A,D,E
Rationale: Metronidazole treatment for trichomoniasis requires specific instructions. Avoiding alcohol (
A) prevents a disulfiram-like reaction. Partner treatment (
D) is essential to prevent reinfection, as trichomoniasis is sexually transmitted. Urine discoloration (E) is a possible side effect to anticipate. Douching (
B) is not recommended, as it disrupts vaginal flora. Birth control pills (
C) do not prevent recurrence of this infection.
Question 4 of 5
The nurse is caring for a client with hyperparathyroidism who had a parathyroidectomy 4 hours ago. Which technique should the nurse use to check for complications in this client?
Correct Answer: C
Rationale: Post-parathyroidectomy, hypocalcemia is a potential complication due to reduced parathyroid hormone levels. Trousseau’s sign (
C), elicited by inflating a BP cuff to induce carpal spasm, indicates hypocalcemia, a critical complication requiring prompt intervention. The wrist hyperextension test (
A) is unrelated to hypocalcemia, and the Romberg test (
B) assesses balance, not relevant to this scenario.
Question 5 of 5
A patient has recently been prescribed Lidocaine Hydrochloride. Which of the following symptoms may occur with over dosage?
Correct Answer: B
Rationale: Lidocaine Hydrochloride can cause fatigue and confusion if an over dosage occurs.