NCLEX-PN
Free PN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
A nurse is preparing to administer an intramuscular injection. Which of the following sites is most appropriate for an adult patient?
Correct Answer: D
Rationale: The ventrogluteal site is safest for IM injections in adults, minimizing nerve or vessel damage. Deltoid and vastus lateralis are alternatives but less preferred, and dorsogluteal is avoided due to sciatic nerve risk.
Question 2 of 5
Following the death of a client, a nursing assistant begins to cry uncontrollably and is unable to provide care for the other assigned clients. The nurse should:
Correct Answer: D
Rationale: Encouraging the nursing assistant to express feelings supports emotional processing and professional growth. Sending her home or to the lounge avoids the issue. Coping lectures are dismissive.
Question 3 of 5
An adult is scheduled for a magnetic resonance imaging (MRI) exam today. Which finding must be reported immediately?
Correct Answer: D
Rationale: Pacemakers are contraindicated for MRI due to magnetic field interference, risking device malfunction, requiring immediate reporting, unlike pins, necklaces, or prior x-ray work.
Question 4 of 5
The nurse is caring for a newborn who has just been diagnosed with hypospadias. When discussing the defect with the parents, the nurse should communicate that
Correct Answer: D
Rationale: Surgery will be performed in stages. Hypospadias correction is done in stages as soon as the infant can tolerate surgery.
Question 5 of 5
The physician has prescribed Cytoxan (cyclophosphamide) for a client with nephrotic syndrome. The nurse should:
Correct Answer: A
Rationale: Cyclophosphamide is nephrotoxic; extra fluids promote excretion and reduce bladder toxicity. Low-protein diets are not indicated, mild soap is unrelated, and joints are not typically inflamed in nephrotic syndrome.