NCLEX PN Practice Test

NCLEX PN Practice Test Related

Review NCLEX PN Practice Test related questions and content

A client is being discharged with plans to return home alone. The client cannot get up from a chair without help and is very unsteady when standing, even with a walker. The nurse expresses concern, but the primary health care provider is adamant that the client be discharged today. Which team member would be most appropriate to assist the nurse in advocating for this client?

  • A. Clinical psychologist
  • B. Occupational therapist
  • C. Physical therapist
  • D. Social worker
Correct Answer: D

Rationale: The client’s mobility limitations and unsafe discharge plan require advocacy for alternative arrangements, such as home care or facility placement. A social worker (D) specializes in coordinating resources, assessing home safety, and advocating for patient needs, making them the best team member to assist. A psychologist (A) focuses on mental health, while occupational (B) and physical therapists (C) address functional skills but not discharge planning.

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A client with allergic rhinitis has an order for a long-acting nasal spray that contains oxymetazoline. The client should be instructed to use the spray as directed to prevent:

  • A. Bleeding tendencies
  • B. Increased nasal congestion
  • C. Nasal polyps
  • D. Tinnitus
Correct Answer: B

Rationale: Overuse of oxymetazoline can cause rebound nasal congestion (rhinitis medicamentosa). It does not typically cause bleeding, nasal polyps, or tinnitus.

A client returns from the operating room after a right orchiectomy. For the immediate post-operative period the nursing priority would be to

  • A. maintain fluid and electrolyte balance
  • B. manage post-operative pain
  • C. ambulate the client within 1 hour of surgery
  • D. control bladder spasms
Correct Answer: B

Rationale: Due to the location of the incision, pain management is the priority. Bladder spasms are more related to prostate surgery.

During the evaluation phase for a client, the nurse should focus on

  • A. All finding of physical and psychosocial stressors of the client and in the family
  • B. The client's status, progress toward goal achievement, and ongoing re-evaluation
  • C. Setting short and long-term goals to insure continuity of care from hospital to home
  • D. Select interventions that are measurable and achievable within selected timeframes
Correct Answer: B

Rationale: The client's status, progress toward goal achievement, and ongoing re-evaluation. Evaluation focuses on assessing progress and adjusting the care plan.

A client is diagnosed as having secondary Cushing's syndrome. The nurse knows that the client has most likely been taking which medication?

  • A. Estrogen
  • B. Penicillin
  • C. Lovastatin
  • D. Prednisone
Correct Answer: D

Rationale: Secondary Cushing's syndrome is often caused by long-term prednisone use, a corticosteroid mimicking cortisol excess. Estrogen, penicillin, or lovastatin do not cause this condition.

When planning care for a woman who is admitted in labor, it is most important for the nurse to obtain which of the following information about the client?

  • A. Age of the client and due date
  • B. Frequency and duration of contractions
  • C. Whether the membranes have ruptured
  • D. Who will be assisting the woman during labor
Correct Answer: B

Rationale: Contraction frequency and duration indicate labor progress and urgency, guiding immediate care. Age, due date, membrane status, and support persons are secondary.

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