NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Discharge medications
Albuterol: 2 puffs every 4-6 hours as needed
Prednisone: 40 mg PO daily
Naproxen: 220 mg PO twice daily
Tiotropium: 1 capsule inhaled daily
Question 1 of 5
A client with a history of degenerative arthritis is being discharged home following exacerbation of chronic obstructive pulmonary disease. After reviewing the discharge medications, the nurse should reinforce which of the following topics with the client? Select all that apply.
Correct Answer: A,D,E
Rationale: Dry mouth (
A) is a side effect of COPD medications, black stools (
D) may indicate GI bleeding, and tiotropium capsules are inhaled, not swallowed (E). Ringing in ears (
B) is not expected, and albuterol should be shaken (
C).
Extract:
Question 2 of 5
A client is admitted with a diagnosis of myocardial infarction (MI). The client is complaining of chest pain. The nurse knows that pain related to an MI is due to
Correct Answer: A
Rationale: Insufficient oxygenation of the cardiac muscle. Due to ischemia of the heart muscle, the client experiences pain. This happens because an MI can block or interfere with the normal cardiac circulation.
Question 3 of 5
Which nursing diagnosis is most appropriate for a client who has Cushing's syndrome?
Correct Answer: A
Rationale: Cushing's syndrome causes cortisol excess, leading to osteoporosis and increased fracture risk, making 'Risk for injury related to osteoporosis' the most appropriate diagnosis.
Question 4 of 5
A male client calls for a nurse because of chest pain. Which statement by the client would require the most immediate action by the nurse?
Correct Answer: D
Rationale: Chest pain radiating to the jaw and left arm is a classic symptom of myocardial infarction, requiring immediate action to assess for a life-threatening cardiac event.
Question 5 of 5
The nurse is caring for a client with increased intracranial pressure (ICP). Which statement by the unlicensed assistive personnel would require immediate intervention by the nurse?
Correct Answer: A
Rationale: Raising the head of the bed (
A) without medical guidance can alter ICP dangerously. Dimming lights (
B), moving belongings (
C), and breathing exercises (
D) are generally safe or neutral.