NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Question 1 of 5
A pediatric client has been receiving Amoxil (amoxicillin) for acute otitis media. It is important the child receive all the medication. Which secondary disorder is associated with improper management of acute otitis media?
Correct Answer: B
Rationale: Improper management of acute otitis media can lead to mastoiditis, an infection of the mastoid bone that can result from untreated or inadequately treated ear infections. Answer A (cholesteatoma) is a possible complication but less directly associated with improper antibiotic management. Answer C (acoustic neuroma) is unrelated to otitis media. Answer D (presbycusis) is age-related hearing loss, not a complication of otitis media.
Question 2 of 5
The practical nurse (PN) is assisting with care for a 1-day-old client who is irritable, feeding poorly, and only sleeping for very short intervals. The newborn's mother has been taking hydrocodone on a regular basis for several years. When collaborating with the registered nurse to develop the plan of care, which intervention should the PN include?
Correct Answer: D
Rationale: Swaddling and rocking (
D) soothe a newborn with neonatal abstinence syndrome due to maternal hydrocodone use. Pacifiers (
A) are helpful, supine positioning (
B) is for safety but not soothing, and stimulation (
C) may worsen irritability.
Question 3 of 5
The nurse is reinforcing teaching on self-administering ophthalmic lubricating ointment medication to a client with newly diagnosed Sjogren's syndrome. Which client statement indicates the need for further teaching?
Correct Answer: A
Rationale: Rubbing the eyes after applying ointment (
A) can cause irritation or displace the medication, indicating a need for further teaching. The other statements (B, C,
D) reflect correct administration techniques.
Extract:
Laboratory reference ranges
1-hour glucose screen - Gestational diabetes
<140 mg/dL
(<7.8 mmol/L)
Hemoglobin (pregnant)
>11.0 g/dL
(>110 g/L)
WBC (pregnant)
5000-15,000/mm3
(5-15 × 109/L)
Question 4 of 5
The licensed practical nurse (LPN) is collecting data on several clients in the antepartum unit. Which of the following clients should the LPN report to the registered nurse for further assessment?
Correct Answer: B
Rationale: Hemoglobin of 9 g/dL (
B) indicates anemia, requiring further assessment. Normal glucose (
A), reactive nonstress test (
C), and slightly elevated WBC (
D) are less urgent.
Extract:
Question 5 of 5
A 2-year-old who swallowed an overdose of adult cough syrup is being discharged from the emergency department. The parent says to the nurse, 'From now on, I'm going to store all medicines in my top dresser drawer.' Which is the best response by the nurse?
Correct Answer: A
Rationale: A locked drawer (
A) ensures safety. Childproof caps (
B) are helpful but insufficient alone. The plan (
C) is unsafe without a lock, and constant supervision (
D) is unrealistic.