NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
As part of a routine health screening, the nurse notes the play of a 2-year-old child. Which of the following is an example of age-appropriate play at this age?
Correct Answer: C
Rationale: Saying 'Mine!' reflects the possessive, independent behavior typical of 2-year-olds. The other activities are either too advanced or not age-specific. Health Promotion and Maintenance
Question 2 of 5
The nurse is making a home visit to a client with chronic obstructive pulmonary disease (COPD). The client tells the nurse that he used to be able to walk from the house to the mailbox without difficulty. Now, he has to pause to catch his breath halfway through the trip. Which diagnosis would be most appropriate for this client based on this assessment?
Correct Answer: A
Rationale: Activity intolerance caused by fatigue related to chronic tissue hypoxia. This reflects the client's reduced capacity for physical activity due to COPD.
Question 3 of 5
The practical nurse is assisting the registered nurse in performing well-child examinations in a pediatric clinic. Which finding requires further evaluation?
Correct Answer: B
Rationale: Lateral curvature of the spine in a 10-year-old suggests scoliosis, which requires further evaluation to prevent progression. A rounded chest in infants is normal due to developing lungs, and an S3 heart sound can be normal in young children.
Question 4 of 5
A 62 year-old female is being seen on a home visit by a nurse. The patient reports she has been taking Premarin for years. Which of the following would indicate an over-dosage?
Correct Answer: A
Rationale: Edema in the lower extremities may indicate a Premarin (over-dosage).
Question 5 of 5
Fat emulsions are frequently administered as a part of total parenteral nutrition. Which statement is true regarding fat emulsions?
Correct Answer: A
Rationale: Fat emulsions provide a high energy-to-fluid-volume ratio (e.g., 2 kcal/mL for 20% solutions), making them efficient for TPN. They are isotonic and pH-neutral, not hypertonic or alkaline. Pharmacological Therapies