NCLEX-PN
NCLEX Practice Test PN Questions
Extract:
Question 1 of 5
During the client interview for a developmentally normal 18-month-old, the parent expresses concern about the small amount of food the child consumes. What is the nurse's priority intervention?
Correct Answer: D
Rationale:
Toddlers often eat small amounts due to slower growth rates and picky eating. Educating parents about normal toddler nutrition addresses concerns and promotes appropriate feeding practices.
Question 2 of 5
A client diagnosed with pneumonia is experiencing shortness of breath, chest pain, and orthopnea. The chest x-ray reveals a very large right pleural effusion. Which intervention should the nurse anticipate for this client?
Correct Answer: C
Rationale: Thoracentesis removes fluid from the pleural space, relieving pressure on the lung and improving breathing in a large pleural effusion.
Question 3 of 5
The nurse is caring for a client with a vascular access for hemodialysis. Which of these findings necessitates immediate action by the nurse?
Correct Answer: D
Rationale: It is a priority to report this finding since clients on hemodialysis are prone to infection, and the first sign is an elevated temperature.
Extract:
Laboratory reference ranges
CD4+ T lymphocyte cells
600-1500 cells/μL
Hemoglobin A1c
Good diabetic control
<7%
Fair diabetic control
8%-9%
Poor diabetic control
>9%
Platelets
150,000-400,000/mm3
(150-400 × 109/L)
Glucose (fasting)
70-110 mg/dL
(3.9-6.1 mmol/L)
Question 4 of 5
The nurse reviews new laboratory results for assigned clients. Which finding is the priority for the nurse to report to the supervising registered nurse?
Correct Answer: C
Rationale: A serum glucose of 65 mg/dL indicates hypoglycemia, which is critical in a client on total parenteral nutrition, as it may require immediate adjustment of glucose infusion or administration of dextrose.
Extract:
Question 5 of 5
The nurse prepares to reinforce teaching for a client with latent tuberculosis who is prescribed oral isoniazid. Which instructions should the nurse include? Select all that apply.
Correct Answer: A,C,D
Rationale: Avoiding alcohol (
A), reporting jaundice (
C), and reporting neuropathy (
D) address isoniazid's risks of hepatotoxicity and peripheral neuropathy.