NCLEX-PN
PN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
A 3-month-old infant is treated in the emergency department for a spiral femur fracture. The parent reports that the infant sustained the injury after rolling off the bed. What is the priority nursing action?
Correct Answer: C
Rationale: A spiral fracture in a non-mobile infant is inconsistent with rolling off a bed, suggesting abuse. Reporting is the priority to ensure safety. Documentation , questioning , and separation follow.
Question 2 of 5
The school nurse suspects that a third grade child might have attention deficit hyperactivity disorder (ADHD). Prior to referring the child for further evaluation, the nurse should
Correct Answer: C
Rationale: Compile a history of behavior patterns and developmental accomplishments. A comprehensive history is essential for accurate ADHD diagnosis.
Question 3 of 5
The nurse is reinforcing teaching on oral care and symptom management to a client with head and neck cancer who has developed mouth sores related to external radiation therapy. Which of the following instructions should the nurse include? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Water-soluble lubricant , avoiding irritants , soft brushing , and saline rinses promote comfort. Alcohol-based mouthwash irritates sores.
Question 4 of 5
The nurse is new to the resident facility and is administering medications. One of the clients does not have a readable identification band in place. What should the nurse do?
Correct Answer: C
Rationale: Asking the roommate provides a reliable secondary identifier in the absence of a readable ID band, ensuring safe medication administration. Self-identification or bed tags are less secure.
Question 5 of 5
Which of the following nursing assessment findings require immediate discontinuance of an antipsychotic medication?
Correct Answer: D
Rationale: Hyperpyrexia, severe muscle rigidity, and malignant hypertension are signs of neuroleptic malignant syndrome (NMS), requiring immediate discontinuation of the antipsychotic.