NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
A client has just been prescribed allopurinol for chronic gout. Which instruction is most important for the nurse to reinforce to the client?
Correct Answer: A
Rationale: Allopurinol can affect kidney, liver, and bone marrow function, so periodic lab tests are critical to monitor for toxicity. Storage instructions, taking with food, and fluid intake are important but less critical than ensuring organ function safety.
Question 2 of 5
The nurse provides an in-service for hospital staff on how to prevent pressure injuries in clients with limited mobility. Which instructions are appropriate for the nurse to include? Select all that apply.
Correct Answer: A,B,D
Rationale: Moisture barrier cream protects skin, cleaning after incontinence prevents irritation, and foam cushions reduce pressure. Massaging bony prominences can cause tissue damage, and repositioning every 6 hours is too infrequent; every 2 hours is standard.
Question 3 of 5
The nurse is caring for a newborn 12 hours after an uncomplicated vaginal birth at 39 weeks gestation. Which of the following findings would require follow up? Select all that apply.
Correct Answer: B,D
Rationale: Yellowish skin suggests jaundice, which requires monitoring for bilirubin levels. An umbilical cord with one artery (instead of two) and one vein may indicate congenital anomalies, needing further evaluation. Plantar creases are normal at 39 weeks, the Babinski reflex (toes fanning) is expected, and gum cysts (Epstein pearls) are benign.
Question 4 of 5
The mother of a burned child asks the nurse to clarify what is meant by a third degree burn. The best response by the nurse is
Correct Answer: C
Rationale: All layers of the skin were destroyed in the burn.' A third degree burn is a full thickness injury to dermis, epidermis and subcutaneous tissue.
Question 5 of 5
The nurse is collecting data from an 18-month-old client. The nurse should suggest referral for a developmental screening test if the client
Correct Answer: D
Rationale: An 18-month-old should have a vocabulary of 10-20 words. A vocabulary of only 5 words indicates a potential speech delay, warranting developmental screening. Noticing others' emotions develops later, finger-eating is normal, and following 1-step commands is age-appropriate.