NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
A client has been on lithium carbonate therapy for 7 days. Which of the following findings would be most important to report to the health care provider?
Correct Answer: A
Rationale: Diarrhea, vomiting, and tremor (
A) suggest lithium toxicity, requiring immediate reporting. Dry mouth (
B) is common, hallucinations (
C) are unrelated, and a lithium level of 1.3 (
D) is within therapeutic range.
Question 2 of 5
The nurse is caring for a client with suspected acute rheumatic fever. Which of the following questions would be most important for the nurse to ask the client?
Correct Answer: D
Rationale: Recent streptococcal infection (
D) is the primary trigger for rheumatic fever, making it the most important question. Antibiotic compliance (
A), family history (
B), and fever (
C) are relevant but less critical.
Question 3 of 5
When writing in the client's chart, the nurse makes an error in documentation. The nurse should:
Correct Answer: D
Rationale: Drawing a single line through the error and initialing maintains transparency and legality. Erasing, blackening, or rewriting the sheet is improper.
Question 4 of 5
The nurse is caring for a client with increased intracranial pressure (ICP). Which statement by the unlicensed assistive personnel would require immediate intervention by the nurse?
Correct Answer: A
Rationale: Raising the head of the bed (
A) without medical guidance can alter ICP dangerously. Dimming lights (
B), moving belongings (
C), and breathing exercises (
D) are generally safe or neutral.
Question 5 of 5
The nurse is caring for a 12-month-old client who is HIV-positive and severely immunosuppressed. Which of the following scheduled immunizations should the nurse anticipate administering to the client? Select all that apply.
Correct Answer: A,D
Rationale: Hib (
A) and PCV (
D) are inactivated vaccines, safe for immunosuppressed children. MMR (
C) and varicella (E) are live vaccines, contraindicated. Hepatitis A (
B) is not routine at 12 months.