NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Question 1 of 5
A 2-year-old who swallowed an overdose of adult cough syrup is being discharged from the emergency department. The parent says to the nurse, 'From now on, I'm going to store all medicines in my top dresser drawer.' Which is the best response by the nurse?
Correct Answer: A
Rationale: A locked drawer (
A) ensures safety. Childproof caps (
B) are helpful but insufficient alone. The plan (
C) is unsafe without a lock, and constant supervision (
D) is unrealistic.
Question 2 of 5
One month ago, a client was prescribed phenytoin 100 mg orally 3 times daily. The client's current serum phenytoin level is 32 mcg/mL (127 μmol/L). Which action by the health care provider does the nurse anticipate?
Correct Answer: B
Rationale: A phenytoin level of 32 mcg/mL is toxic (therapeutic range: 10-20 mcg/mL), so the dose should be decreased (
B). Continuing (
A) or increasing (
C) the dose risks toxicity. Repeating the level (
D) delays intervention.
Question 3 of 5
A 31-year-old client is admitted to the psychiatric unit after cutting both wrists with a kitchen knife. The client has a diagnosis of borderline personality disorder. The most therapeutic approach by the nurse is one that is:
Correct Answer: C
Rationale: A firm and consistent approach provides structure and boundaries, which are therapeutic for clients with borderline personality disorder who often test limits.
Question 4 of 5
The nurse is caring for a college football player who recently sustained an accidental, forceful, helmet-to-helmet collision with another running football player. Which sign/symptom is most concerning and alerts the practical nurse to contact the registered nurse immediately?
Correct Answer: B
Rationale: A 'halo' across vision (
B) suggests a serious neurological issue, such as a concussion or brain injury, requiring immediate attention. Epistaxis (
A), emesis (
C), and headache (
D) are concerning but less urgent unless persistent or worsening.
Question 5 of 5
A client using a diaphragm should be instructed to:
Correct Answer: A
Rationale: Leaving a diaphragm in place longer than 8 hours increases infection risk. Resizing is needed for significant weight changes (e.g., 10+ pounds) or post-surgery, not minor changes.