NCLEX-PN
Best NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
An outbreak of hepatitis has occurred at a local factory. Ten factory workers ages 16 to 18 years developed symptoms of hepatitis within 2 days of each other. The source of the illness is determined to be contaminated cafeteria food. The factory occupational health nurse should notify the CDC that which type of hepatitis outbreak likely occurred?
Correct Answer: A
Rationale: Hepatitis A is transmitted via the fecal-oral route, often through contaminated food, and can cause outbreaks, unlike B, C, or D.
Question 2 of 5
The nurse is assessing an adolescent male diagnosed with gonorrhea. Which specific signs and symptoms should the nurse associate with the gonorrheal infection? Select all that apply.
Correct Answer: B,C
Rationale: Gonorrhea typically causes purulent urethral discharge and dysuria/frequency in males, not lesions or rashes.
Question 3 of 5
The nurse is completing a health assessment of the female client with menorrhagia of unknown origin. Which serum laboratory result should the nurse carefully review?
Correct Answer: C
Rationale: A. Calcium should not be affected by menorrhagia. B. BUN should not be affected by menorrhagia. C. Persistent heavy bleeding can result in anemia, which would be reflected in the client's Hgb level. D. WBCs should not be affected by menorrhagia.
Question 4 of 5
The nurse is caring for the child who has a virulent infection. The HCP prescribes cefazolin sodium IV 50 mg every 6 hours. The Pediatric Dosage Handbook states the safe range of cefazolin is 6.25 to 25 mg per kg per day. The child weighs 18 lb. What is the most appropriate action by the nurse?
Correct Answer: C
Rationale: Convert 18 lb to kg: 18 ÷ 2.2 = 8.18 kg. Safe range: 6.25–25 mg/kg/day = 51.13–204.5 mg/day. Prescribed dose: 50 mg × 4 = 200 mg/day, which is within the safe range.
Question 5 of 5
At 0800 hours the nurse assesses the 3-year-old with rubeola and finds that the child is restless, hard to calm, feverish, reporting pain, is tachycardic, and has crackles and rhonchi in the lung bases. The nurse compares the 0800-hour VS to the previously obtained VS (See VS chart). Acetaminophen was last given at 0600 hours. What should be the nurse's priority?
Correct Answer: C
Rationale: Crackles and rhonchi suggest possible pneumonia, a serious complication of rubeola. Notifying the HCP is critical for timely intervention.