NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
A parent asks the nurse about a 6 year-old child's apparent need for punishment following a series of misbehaviors. The child was diagnosed with rheumatic fever a few weeks ago. Which response is most appropriate?
Correct Answer: D
Rationale: A major manifestation of rheumatic fever that reflects central nervous system involvement is chorea. Early symptoms of chorea include behavior changes and clumsiness. Chorea is characterized by sudden, aimless, irregular movements of the extremities, involuntary facial grimaces, speech disturbances, emotional lability, and muscle weakness.
Extract:
On the second day of surgery, the mother reported fever and rapid respirations on her child. The child's temperature was 39°C.
Question 2 of 5
The first action taken by the nurse should be to
Correct Answer: A
Rationale: Fever and rapid respirations post-surgery may indicate infection or complications, requiring immediate physician notification.
Extract:
Question 3 of 5
The nurse is preparing to administer a unit of packed red blood cells to a client. Which of the following actions should the nurse perform FIRST?
Correct Answer: A
Rationale: Verifying the client’s identity with another nurse ensures the correct patient receives the transfusion, preventing life-threatening errors. Starting an IV (
B) requires a larger catheter (18–20 gauge), priming (
C) follows verification, and compatibility (
D) is part of verification.
Question 4 of 5
When the nurse asks a client to follow a moving finger, the nurse is assessing which cranial nerve?
Correct Answer: C
Rationale: Cranial nerve IV (trochlear) controls the superior oblique eye muscle, responsible for downward and inward eye movement, tested by following a moving finger.
Extract:
One of the following is not a symptom of the patient with right sided heart failure:
Question 5 of 5
Weight gain
Correct Answer: C
Rationale: Right-sided heart failure causes jugular vein distension, not flattened neck veins.