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 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 3 of 5
Which information should be included in the nurse's shift report?
Correct Answer: C
Rationale: Although all of these may be correct information to include in report, the essential piece would be the urine output, as it indicates the client's fluid status and response to treatment.
Extract:
Vital signs
Temperature 98.6 F (37 C)
Heart rate 146/min
Respirations 42/min
O2 saturation or SpO2 98%
Question 4 of 5
A nurse auscultates a loud cardiac murmur on a newborn with suspected trisomy 21 (Down syndrome). A genetic screen and an echocardiogram are scheduled that day. The neonate’s vital signs are shown in the exhibit. What would be an appropriate action for the nurse to complete next?
Correct Answer: B
Rationale: Documenting the murmur is appropriate as genetic screening and an echocardiogram are already scheduled, indicating the provider is aware. Calling the provider is unnecessary, knee-chest position is for specific heart defects, and oxygen is not indicated without respiratory distress.
Extract:
Question 5 of 5
The nurse is initiating a prescription for levothyroxine for a client with hypothyroidism. Which of the following actions would be most important for the nurse to take?
Correct Answer: B
Rationale: Levothyroxine is contraindicated in pregnancy without careful monitoring due to fetal risks, so confirming a negative pregnancy test is critical. Menstrual history is less urgent, mouth/throat assessment is unrelated, and teaching symptoms is important but secondary.