NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
In taking the history of a pregnant woman, which of the following would the nurse recognize as the primary contraindication for breast feeding?
Correct Answer: D
Rationale: Use of cocaine on weekends. Cocaine use is harmful to the breastfed infant, even with intermittent use.
Question 2 of 5
Which of the following observations indicates the possibility of a birth injury related to forceps delivery?
Correct Answer: A
Rationale: Asymmetry of the mouth may indicate facial nerve injury, a potential complication of forceps delivery due to pressure on the facial nerve.
Question 3 of 5
The nurse is caring for assigned clients. The nurse should recognize the client at highest risk for developing a pulmonary embolism is the client who
Correct Answer: C
Rationale: Recent cesarean birth increases pulmonary embolism risk due to immobility, surgical trauma, and hypercoagulability postpartum. Pneumonia, subdural hematoma, and hormone therapy carry lower or less immediate risks in this context.
Question 4 of 5
A client has just been prescribed allopurinol for chronic gout. Which instruction is most important for the nurse to reinforce to the client?
Correct Answer: A
Rationale: Allopurinol can affect kidney, liver, and bone marrow function, so periodic lab tests are critical to monitor for toxicity. Storage instructions, taking with food, and fluid intake are important but less critical than ensuring organ function safety.
Question 5 of 5
A 10-year-old weighs 99 lb (44.9 kg) and has a BMI of 24.8 kg/m² (>95th percentile). The licensed practical nurse (LPN) is collaborating with the registered nurse (RN) to formulate a weight loss plan. Which is most important for the nurse to determine?
Correct Answer: D
Rationale: The family's readiness for change is critical, as it determines their willingness to adopt and sustain lifestyle changes necessary for weight loss. While activity, eating habits, and finances are important, motivation drives success.