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NCLEX PN Test Questions

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Question 1 of 5

A 6-month old has been hospitalized for the treatment of acute diarrhea. Discharge diet includes the use of Isomil instead of Similac formula until the next clinic appointment. Which of the following statements explains the change in infant formula?

Correct Answer: D

Rationale: Isomil is a soy-based formula, used temporarily after diarrheal illness because infants may develop transient lactose intolerance due to mucosal damage. Permanent lactose intolerance is rare, and Isomil is not an oral rehydration formula.

Question 2 of 5

The nurse is caring for assigned clients. The nurse should recognize the client at highest risk for developing a pulmonary embolism is the client who

Correct Answer: C

Rationale: Recent cesarean birth increases pulmonary embolism risk due to immobility, surgical trauma, and hypercoagulability postpartum. Pneumonia, subdural hematoma, and hormone therapy carry lower or less immediate risks in this context.

Question 3 of 5

A health care provider is screaming at the nurse in the hallway. 'Why didn't you get that surgery scheduled sooner?' What is the best response by the nurse?

Correct Answer: B

Rationale: Responding calmly and redirecting to a supervisor de-escalates the situation professionally while addressing the inappropriate tone. Accusing the provider of overreacting is confrontational and unprofessional.

Question 4 of 5

The nurse in the emergency department is caring for a client who is experiencing an acute exacerbation of asthma. Which of the following medications should the nurse expect to administer?

Correct Answer: A

Rationale: Nebulized albuterol, a short-acting beta-agonist, rapidly relieves bronchospasm in acute asthma exacerbations. Montelukast is for maintenance, methylprednisolone is slower-acting, ipratropium is secondary, and salmeterol is long-acting, not for acute relief.

Question 5 of 5

Medication bound to protein can have which of the following effects?

Correct Answer: C

Rationale: Protein-bound drugs are less available for receptor binding, reducing their therapeutic effect until unbound. This does not enhance availability, speed distribution, or increase metabolism directly. Pharmacological Therapies

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