NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
Which test for diabetes measures the long-term management of the disease?
Correct Answer: D
Rationale: Glycosylated hemoglobin (HbA1c) measures average blood glucose over 2-3 months, assessing long-term diabetes control, unlike fasting, tolerance, or finger stick tests, which are short-term.
Question 2 of 5
The nurse prepares to administer medications to a client. Which of the following client data are acceptable for use as client identifiers? Select all that apply.
Correct Answer: A, B, D
Rationale: Date of birth (
A), first and last name (
B), and medical record number (
D) are reliable identifiers. Health care provider (
C) and room number (E) are not specific to the client.
Question 3 of 5
The nurse helps the health care provider perform a thoracentesis at the bedside. In which position does the nurse place the client to facilitate needle insertion and promote comfort?
Correct Answer: D
Rationale: Upright leaning forward (
D) facilitates lung expansion and fluid access while ensuring comfort. Other positions (A, B,
C) are less effective or uncomfortable.
Question 4 of 5
The nurse reinforces teaching about methotrexate to a client with rheumatoid arthritis. It is most important to address which topic regarding this drug?
Correct Answer: C
Rationale: Methotrexate suppresses the immune system, significantly increasing the risk for infection (
C). This is a critical teaching point to ensure the client takes precautions. Eye exams (
A), sunblock (
B), and kidney injury (
D) are less directly associated with methotrexate's primary risks.
Question 5 of 5
The nurse in a long-term care facility is caring for a client with major depressive disorder who is reporting difficulty sleeping. The client gets up during the night, paces the hallway, wrings the hands, and appears teary. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: A, D, E, F
Rationale: Natural sunlight exposure (
A) helps regulate circadian rhythms and improve mood. Warm milk (
D) contains tryptophan, which promotes sleep. A quiet environment (E) and soft music (F) reduce stimulation and promote relaxation. Naps (
B) may disrupt nighttime sleep, and exercise before bedtime (
C) can be stimulating.