NCLEX-PN
Free PN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
A 5-month-old infant is admitted to the ER with a temperature of 103.6° and irritability. The mother states that the child has been listless for the past several hours and that he had a seizure on the way to the hospital. A lumbar puncture confirms a diagnosis of bacterial meningitis. The nurse should assess the infant for:
Correct Answer: B
Rationale: Tenseness of the anterior fontanel indicates increased intracranial pressure, a critical sign in bacterial meningitis.
Extract:
Gastrostomy tube was placed on the patient with terminal stage of throat cancer. Feeding is started today.
Question 2 of 5
Prior to initiating the first gastrostomy feeding, the nurse should perform which of the following?
Correct Answer: D
Rationale: Flushing the tube ensures patency before feeding, preventing blockages and ensuring safe administration.
Extract:
Question 3 of 5
The nurse is caring for a client who had knee surgery this morning. Postoperative orders include a narcotic every three to four hours as needed for operative site pain and an ice bag. At 7:00 P.M., the client asks for pain medication. He was last medicated at 3:30 P.M. What is the best initial nursing action?
Correct Answer: B
Rationale: Assessing pain location and nature ensures the medication is appropriate for operative site pain, guiding safe administration. Administering without assessment, refilling ice, or repositioning are premature.
Question 4 of 5
The nurse is assessing a client with a suspected fracture of the radius. Which of the following findings would support this diagnosis?
Correct Answer: A
Rationale: A radius fracture typically causes swelling and deformity at the wrist due to bone disruption. Shoulder pain (
B) suggests a proximal injury, leg numbness (
C) is unrelated, and fever/stiffness (
D) indicate infection or arthritis.
Question 5 of 5
The nurse is caring for a newborn who has just been diagnosed with hypospadias. When discussing the defect with the parents, the nurse should communicate that
Correct Answer: D
Rationale: Surgery will be performed in stages. Hypospadias correction is done in stages as soon as the infant can tolerate surgery.