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
Which behavioral characteristic describes the domestic abuser?
Correct Answer: D
Rationale: Low self-esteem. Batterers were usually physically or psychologically abused as children or have had experiences of parental violence. Batterers are also manipulative, and have a great need to exercise control or power over their partners.
Question 3 of 5
The nurse is preparing to irrigate the wound of a 7-year-old client who sustained a laceration while on a playground. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: A,D,E
Rationale: Analgesics (
A), checking vaccinations (
D) for tetanus risk, and continuous flushing (E) are appropriate. Cleaning from contaminated to clean (
B) is incorrect, and a 27-gauge needle (
C) is too small for irrigation.
Question 4 of 5
The nurse is assessing the deep tendon reflexes of a client with preeclampsia. Which method is used to elicit the biceps reflex?
Correct Answer: A
Rationale:
To elicit the biceps reflex, the nurse places her thumb on the biceps tendon in the antecubital space and taps it with a reflex hammer, so A is correct. Answer B is incorrect as it describes a different technique. Answer C refers to the patellar reflex, and Answer D is not a standard method for the biceps reflex.
Question 5 of 5
The mother of a 2 year-old hospitalized child asks the nurse's advice about the child's screaming every time the mother gets ready to leave the hospital room. What is the best response by the nurse?
Correct Answer: C
Rationale: Gradually increasing the time of separation can help the child adjust to the mother's absence, reducing anxiety and screaming over time.