PART 3: NCLEX-PN PRACTICE QUESTIONS (25 ITEMS)

PART 3: NCLEX-PN PRACTICE
QUESTIONS (25 ITEMS)
1. Question
The nurse is caring for a client with systemic lupus
erythematosus (SLE). The major complication associated with
systemic lupus erythematosus is:


o A. Meningitis

o B. Nephritis

o C. Cardiomegaly

o D. Desquamation
Correct Answer: B. Nephritis
 Option B: Systemic lupus erythematosus is a form of
lupus and an autoimmune disease in which the
antibodies attack the body’s own cells and tissue
causing inflammation and damage to organs such as
the kidneys resulting in complications such as
nephritis.
 Options A and C: SLE affects the musculoskeletal,
integumentary, renal, nervous, and cardiovascular
systems, but the major complication is renal
involvement.
 Option D: SLE produces a “butterfly” rash, not
desquamation.
2. 2. Question
Which diet is associated with an increased risk of colorectal
cancer?


 A. High protein, simple carbohydrates

 B. High fat, refined carbohydrates

,  C. Low carbohydrates, complex proteins

 D. Low protein, complex carbohydrates
Correct Answer: B. High fat, refined carbohydrates
 Option B: A diet that is high in fat and refined
carbohydrates increases the risk of colorectal cancer.
High-fat content results in an increase in fecal bile
acids, which facilitate carcinogenic changes. Refined
carbohydrates increase the transit time of food
through the gastrointestinal tract and increase the
exposure time of the intestinal mucosa to cancer-
causing substances.
3. 3. Question
The nurse is caring for an infant following a cleft lip repair. While
comforting the infant, the nurse should avoid:


 A. Offering sterile water

 B. Holding the infant

 C. Offering a pacifier

 D. Providing a mobile
Correct Answer: C. Offering a pacifier
 Option C: The nurse should avoid giving the infant a
pacifier or bottle for 10 days to allow time for healing,
and prevent injury to the site. The child can be fed
using a cup or the side of a spoon to drop fluids and
food into the mouth.
 Options A, B, and D: Holding the infant cradled in the
arms, providing a mobile, and offering sterile water
using a Breck feeder are permitted.
4. 4. Question
The physician has ordered Amoxil (amoxicillin) 500 mg capsules
for a client with esophageal varices. The nurse can best care for
the client’s needs by:

,  A. Giving the medication as ordered

 B. Providing extra water with the medication

 C. Requesting an alternate form of the medication

 D. Giving the medication with an antacid
Correct Answer: C. Requesting an alternate form of the
medication
 Option C: The client with esophageal varices can
develop spontaneous bleeding from the mechanical
irritation caused by taking capsules; therefore, the
nurse should request the medication in a suspension.
 Option A: This does not best meet the client’s needs.
 Option B: This is not the best means of preventing
bleeding.
 Option D: Antibiotics should not be given with milk or
antacids because it interferes with the absorption.
5. 5. Question
The nurse is providing dietary instructions for a client with
hemochromatosis. Which food items should the client
consume, except?


 A. Grains

 B. Coffee

 C. Lamb

 D. Legumes
Correct Answer: C. Lamb
 Option C: Hemochromatosis is an iron disorder where
the body absorbs too much iron. Diet
recommendations for this disease include reducing the
consumption of red meat. Red meat contains the most
easily absorbable form of iron called heme iron.
 Options A and D: Grains and legumes are a good
source of phytic acid which inhibits iron absorption.