NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
After sustaining a closed head injury and numerous lacerations and abrasions to the face and neck, a five-year-old child is admitted to the emergency room. The client is unconscious and has minimal response to noxious stimuli. Which of the following assessments, if observed by the nurse three hours after admission, should be reported to the physician?
Correct Answer: B
Rationale: Clear fluid draining from the ear suggests cerebrospinal fluid (CSF) leakage, indicating a rupture of the meninges, which poses a risk of meningitis or other complications in a head injury. This must be reported immediately. Eyelid edema (
A) and minor bleeding (
C) are less urgent, and withdrawal to pain (
D) is consistent with the initial assessment.
Question 2 of 5
The provider orders potassium chloride 1.25 mEq for a pediatric client. The solution contains 45 mEq per 15 mL. How many mL will you administer?
Correct Answer: B
Rationale: (1.25 mEq ÷ 45 mEq) × 15 mL = 0.4167 mL, rounded to 0.42 mL for practical administration. Other options are miscalculations.
Extract:
Gout is more prevalent in which of the following:
Question 3 of 5
Men
Correct Answer: A
Rationale: Gout has a higher prevalence in middle-aged or older men due to hormonal and metabolic factors.
Extract:
Question 4 of 5
The nurse on the psychiatric unit is caring for several clients. Which client needs the most immediate attention?
Correct Answer: C
Rationale: Screaming and running indicate potential danger to self or others, requiring immediate intervention to ensure safety.
Question 5 of 5
The nurse is caring for a client who is receiving total parenteral nutrition (TPN) (hyperalimentation and lipids). What is the priority nursing action on every 8 hour shift?
Correct Answer: C
Rationale: Because of the high dextrose and protein content in parenteral nutrition, the nurse should assess the urine at least every 8 hours.