NCLEX PN Practice Tests

NCLEX PN Practice Tests Related

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The nurse in the outpatient clinic is talking with a client who was diagnosed with hypertension 6 months ago. The client's current blood pressure is 170/94 mm Hg. Which of the following questions would be most important for the nurse to ask?

  • A. Are you feeling overwhelmed at home or work?
  • B. Can you describe your daily eating habits to me?
  • C. Do you smoke cigarettes or use tobacco products?
  • D. How often do you take your antihypertensive medications?
Correct Answer: D

Rationale: A major disadvantage of long-term management of hypertension is poor adherence to the treatment plan. Blood pressure medications can have unpleasant adverse effects, including fatigue, dizziness, and erectile dysfunction. In addition, clients may stop taking the medications when they believe their blood pressure has returned to normal range or if medications are expensive. Abrupt discontinuation of prescribed antihypertensive medications can lead to hypertensive crisis, a life-threatening emergency characterized by severely elevated blood pressure (ie, systolic ≥180 mm Hg and/or diastolic ≥120 mm Hg). To prevent complications (eg, end organ damage), the nurse should determine if the client has been taking the medications consistently (Option 4). There may be a need for a dosage change or addition of another medication.

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What information would be most important for the nurse to obtain from a client with suspected bladder cancer who reports blood in the urine but no associated pain?

  • A. Family history
  • B. Industrial chemical exposure
  • C. Tobacco use
  • D. Usual diet
Correct Answer: C

Rationale: Tobacco use is the strongest risk factor for bladder cancer, strongly linked to painless hematuria. Chemical exposure is relevant but less common, family history is weak, and diet is not a primary factor.

The nurse is reinforcing teaching about measures to prevent the transmission of hepatitis A for a group of clients at an outpatient treatment facility for substance use disorders. Which of the following information would be most important for the nurse to include?

  • A. Avoid drinking tap water at home
  • B. Do not share needles if you inject recreational substances
  • C. Practice safe sex by using condoms
  • D. Wash your hands thoroughly after toileting and before eating
Correct Answer: D

Rationale: Hepatitis A is transmitted via the fecal-oral route, making handwashing after toileting and before eating critical. Tap water, needle sharing, and sex are not primary transmission modes for hepatitis A.

The nurse is caring for a postoperative client who is unresponsive to painful stimuli and is given naloxone. Within 5 minutes, the client can be roused and responds to verbal commands. One hour later, the client is again difficult to rouse, with minimal response to physical stimuli. Which actions does the nurse anticipate? Select all that apply.

  • A. Administration of oxygen
  • B. Administration of a 2nd dose of naloxone
  • C. Discontinuation of pain medication
  • D. Initiation of a rapid response or code team
  • E. Monitoring of respiratory rate
Correct Answer: A,B,E

Rationale: Recurrent unresponsiveness suggests opioid re-narcotization, requiring oxygen, a second naloxone dose, and respiratory monitoring. Discontinuing pain medication is premature, and rapid response is not yet indicated.

The parent of a child treated for injuries consistent with suspected child abuse has been told that a report will be made to Child Protective Services (CPS). The parent says angrily to the nurse, 'I don’t know why this is being reported. I told the health care provider (HCP) that it was an accident.' What is the best response by the nurse?

  • A. A case worker from CPS will be visiting you in a few days. The case worker can explain it to you then
  • B. Did you ask the HCP why it is being reported?
  • C. Reporting your child’s injuries is required by law. It is for your child’s safety and protection
  • D. Your explanation of your child’s injuries does not seem plausible
Correct Answer: C

Rationale: Explaining that reporting is legally mandated for child safety is factual and nonjudgmental. Deferring to CPS, questioning the parent, or doubting their explanation may escalate tension or avoid responsibility.

The nurse is caring for a client with social anxiety disorder. Which of the following situations would most likely exacerbate the client's symptoms?

  • A. Shopping in a crowded grocery store
  • B. Moving into a new home with the spouse
  • C. Speaking in front of peers at a professional convention
  • D. Attending an appointment with a new health care provider
Correct Answer: C

Rationale: Speaking publicly, especially to peers, is highly likely to trigger social anxiety due to fear of scrutiny. Crowded stores, moving, and new providers may cause anxiety but are less intense triggers.

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