NCLEX-PN
NCLEX PN Practice Test Questions
Extract:
Question 1 of 5
During the evaluation phase for a client, the nurse should focus on
Correct Answer: B
Rationale: The client's status, progress toward goal achievement, and ongoing re-evaluation. Evaluation focuses on assessing progress and adjusting the care plan.
Question 2 of 5
A nurse is caring for a 1-month-old client who is being evaluated for congenital hypothyroidism. The nurse should recognize which of the following as clinical manifestations of hypothyroidism in infants? Select all that apply.
Correct Answer: A,B,D
Rationale: Hypothyroidism in infants causes lethargy (
A), dry skin (
B), and hoarse cry (
D) due to slowed metabolism. Loose stools (
C) and tachycardia (E) are more typical of hyperthyroidism.
Question 3 of 5
The nurse has reinforced teaching about formula preparation with the parent of a newborn. Which of the following statements by the parent would indicate a correct understanding of the teaching? Select all that apply.
Correct Answer: A,B,D
Rationale: Microwaving (
A) can cause uneven heating, risking burns, so it’s avoided. Washing the can top (
B) prevents contamination. Refrigerated formula must be discarded after 24 hours (
D) to prevent bacterial growth. Diluting less (
C) alters nutrition, and bottled water (E) may need boiling depending on safety, indicating incorrect understanding.
Extract:
Intake and output record
Time Oral intake Parenteral intake Other intake Output
0700 150 mL vancomycin IV
0900 240 mL coffee 1500 mL dialysate
1100 120 mL tea
1300 100 mL cefepime IV 1400 mL dialysate outflow
1500 180 mL juice
Question 4 of 5
The nurse is completing a client's intake and output record for the shift. How many mL should the nurse record as the client's net fluid balance for the shift?
Correct Answer: 890
Rationale: Without specific intake/output data, a general approach is assumed: net fluid balance is calculated as total intake (IV, oral, etc.) minus total output (urine, emesis, etc.). For example, if intake is 2000 mL and output is 1800 mL, the balance is 200 mL. The nurse must sum all recorded values accurately.
Extract:
Question 5 of 5
Priorities to be considered intermediate are:
Correct Answer: A
Rationale: Priorities designated as intermediate by the nurse are those that are not urgent. They do not affect the client's immediate physiological status.