NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
Iron drops were ordered for a toddler who has iron deficiency anemia. What observation of the child by the nurse indicates that the child is receiving the medication?
Correct Answer: D
Rationale: Iron supplements commonly cause black stools due to unabsorbed iron, indicating medication use. Pallor, brown spots, or dark urine are unrelated.
Question 2 of 5
A teenage client is admitted to the hospital because of acetaminophen (Tylenol) overdose. Overdoses of acetaminophen can precipitate life-threatening abnormalities in which of the following organs?
Correct Answer: B
Rationale: Acetaminophen is metabolized in the liver, and overdose can cause severe liver damage or failure. The other organs are not primarily affected by acetaminophen overdose. Pharmacological Therapies
Question 3 of 5
A nurse is caring for a 37-year-old woman with metastatic ovarian cancer admitted for nausea and vomiting. The physician orders total parenteral nutrition (TPN), a nutritional consult, and diet recall. Which of the following is the BEST indication that the patient's nutritional status has improved after 4 days?
Correct Answer: C
Rationale: Albumin levels are the best indicator of long-term nutritional status, reflecting protein stores. A level of 4.0 mg/dL (normal range 3.5–5.0 g/dL) suggests improved nutrition after TPN. Eating more (
A) is subjective, weight gain (
B) may reflect fluid retention, and low hemoglobin (
D) is unrelated to nutrition and more likely due to cancer or chemotherapy.
Question 4 of 5
A nurse is caring for a patient with bipolar disorder who is experiencing a depressive episode. Which of the following interventions is most appropriate?
Correct Answer: C
Rationale: Allowing rest and sleep supports recovery during a depressive episode, as energy is low. Group activities or stimulation may overwhelm, and expression should be encouraged.
Question 5 of 5
The nurse is caring for a client with a history of Crohn’s disease who reports abdominal pain and diarrhea. Which of the following dietary recommendations should the nurse provide?
Correct Answer: B
Rationale: A low-residue, high-protein diet minimizes bowel irritation and supports nutrition in Crohn’s disease, reducing diarrhea and pain. High-fiber (
A) worsens symptoms, high-sodium (
C) is unnecessary, and low-protein (
D) hinders tissue repair.