NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A mother brings her two-year-old boy to the pediatrician's office. Which of the following symptoms would suggest to the nurse that the child has strabismus?
Correct Answer: C
Rationale: Strabismus is characterized by misaligned eyes, causing the brain to receive two images. Closing one eye to focus (as in choice
C) is a compensatory behavior to avoid double vision.
Choices A and B suggest refractive errors, and choice D indicates cataracts or peripheral vision issues.
Question 2 of 5
A client with newly diagnosed type I diabetes mellitus is being seen by the home health nurse. The physician orders include: 1,200-calorie ADA diet, 15 units of NPH insulin before breakfast, and check blood sugar qid. When the nurse visits the client at 5 PM, the nurse observes the man performing a blood sugar analysis. The result is 50 mg/dL. The nurse would expect the client to be
Correct Answer: A
Rationale: A blood sugar of 50 mg/dL indicates hypoglycemia (normal 70–110 mg/dL), causing symptoms like confusion, cold, clammy skin, and tachycardia (pulse 110). Hyperglycemia (
B) causes hot, dry skin and Kussmaul respirations, normal findings (
C) are unlikely, and fluid overload (
D) is unrelated.
Question 3 of 5
A client with ulcerative colitis is taking Azulfidine (Sulfasalazine). Which of the following instructions should be included in the nurse's teaching?
Correct Answer: C
Rationale: Azulfidine is a maintenance medication for ulcerative colitis, and clients should continue taking it even during remission to prevent flare-ups.
Question 4 of 5
The 5-minute Apgar of a baby delivered by C-section is recorded as 9. The most likely reason for this score is:
Correct Answer: C
Rationale: Cyanosis of the hands and feet (acrocyanosis) is common in newborns and may result in a 1-point deduction from a perfect Apgar score of 10.
Question 5 of 5
The licensed practical nurse is caring for a client with congestive heart failure. The nurse should immediately report the presence of:
Correct Answer: A
Rationale: Pink, frothy sputum indicates pulmonary edema, a life-threatening complication of CHF requiring immediate reporting. Edema, shortness of breath, and weak pulses are expected but less urgent.