NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
A client with leukemia is receiving oral prednisolone (Prednisone). An expected side effect of the prolonged use of prednisolone is:
Correct Answer: C
Rationale: Prolonged use of prednisolone, a corticosteroid, causes hirsutism (excessive hair growth) due to hormonal effects. Weight gain, not loss , and increased appetite, not decreased , are typical. Integumentary bronzing is unrelated.
Question 2 of 5
A patient with schizophrenia is experiencing auditory hallucinations. Which of the following interventions should the nurse implement?
Correct Answer: C
Rationale: Asking the patient to describe hallucinations builds trust, assesses severity, and guides treatment without challenging reality. Ignoring, denying, or distracting with TV does not address the patient’s experience.
Question 3 of 5
The nurse is supervising the staff providing care for an 18-month-old hospitalized with hepatitis A. The nurse determines that the staff's care is appropriate if which of the following is observed?
Correct Answer: A
Rationale: Hepatitis A requires contact precautions for diapered patients due to fecal-oral transmission, necessitating a private room. Removing toys (
B) risks spreading contamination, a high-fat diet (
C) is inappropriate, and standard precautions alone (
D) are insufficient.
Question 4 of 5
A woman at 38-weeks gestation comes to the emergency room with complaints of vaginal bleeding. Which of the following statements, if made by the client, would suggest to the nurse placenta previa as the cause of the bleeding?
Correct Answer: A
Rationale: Placenta previa is characterized by painless vaginal bleeding, as the placenta covers the cervix, causing bleeding without contractions.
Choice A reflects this. Nausea (
B) is unrelated, activity-related bleeding (
C) suggests abruptio placentae, and cramps (
D) indicate labor or abruptio placentae.
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.