NCLEX-PN
NCLEX PN Exam Practice Test Questions
Extract:
Question 1 of 5
An adult who had a mastectomy yesterday says to the nurse, 'I guess I'm not a real woman anymore. How could my husband possibly love me now?' What is the best response for the nurse to make?
Correct Answer: A
Rationale: Reflecting the client's feelings validates her emotional distress, fostering therapeutic communication post-mastectomy. Other responses dismiss or redirect her concerns.
Question 2 of 5
A 38-year-old client who has mitral stenosis is hospitalized for a valve replacement. Which condition is the client most likely to report having had earlier in life?
Correct Answer: C
Rationale: Mitral stenosis is commonly a sequel of rheumatic fever, which damages heart valves. Meningitis, syphilis, and rubella are not typically associated with mitral valve pathology.
Question 3 of 5
A parent calls the clinic about a 3-year-old who is sick with the flu. Which report by the parent would necessitate intervention by the nurse?
Correct Answer: B
Rationale: Bismuth subsalicylate is contraindicated in children with viral infections due to Reye syndrome risk, requiring intervention. Other actions are appropriate.
Extract:
Laboratory reference ranges
Platelets
150,000–400,000/mm3
(150–400 × 109/L)
Question 4 of 5
A client is being discharged with a prescription for apixaban after being treated for a pulmonary embolus. Which clinical data is most concerning to the nurse?
Correct Answer: C
Rationale: Indomethacin, an NSAID, increases bleeding risk when combined with apixaban, an anticoagulant, making it concerning. The other data are not significant.
Extract:
Question 5 of 5
The doctor has ordered Polycillin (ampicillin) Suspension 150 mg every 6 hours. The suggested dose for infants is 25-50 mg/kg/day in equally divided doses. The infant weighs 7 kg. The nurse should:
Correct Answer: D
Rationale: The ordered dose (150 mg q6h = 600 mg/day) exceeds the safe range for a 7 kg infant (175-350 mg/day), requiring the nurse to verify the order with the doctor.