NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
A client is admitted with a diagnosis of delusions of grandeur. This diagnosis reflects a belief that he is:
Correct Answer: A
Rationale: A client with delusions of grandeur has a false belief that he is highly important or famous. A delusion of persecution is a false belief that one is being persecuted. A delusion of reference is a false belief that one is connected to events unrelated to oneself or a belief that one is responsible for the evil in the world.
Extract:
Jaundiced patients are susceptible to postoperative hemorrhage because their blood does not clot normally due to the fact that:
Question 2 of 5
Jaundiced patients are susceptible to postoperative hemorrhage because their blood does not clot normally due to the fact that:
Correct Answer: D
Rationale: Lack of bile reduces vitamin K absorption, impairing prothrombin synthesis and clotting.
Extract:
Question 3 of 5
A 7-year-old boy is in the hospital with Reye's syndrome. He has been ill for two weeks with the flu. He ran high fevers and was treated with four baby aspirin alternating with 325-mg chewable Tylenol and sponge baths to control the fever. He also had a rash on his body that was itchy, and his mother used lotion and Benadryl to control the itching. Besides history of the flu, which factor in his history is associated with development of Reye's syndrome?
Correct Answer: C
Rationale: Aspirin use in children with viral infections, like the flu, is strongly linked to Reye's syndrome, a rare but serious condition affecting the liver and brain.
Question 4 of 5
Which of the following snacks would be permitted for a child with acute renal failure?
Correct Answer: C
Rationale: Marshmallows are low in potassium and sodium, making them suitable for a child with acute renal failure, unlike the other high-potassium or high-sodium options.
Question 5 of 5
The nurse assesses the development of a three-month-old boy in the well-baby clinic. Which of the following behaviors, if observed by the nurse, would be UNEXPECTED?
Correct Answer: B
Rationale: Grasping objects is expected around 6 months, not 3 months, making this behavior unexpected. Holding the head erect (
A), turning to sound (
C), and spontaneous smiling (
D) are typical for a 3-month-old.