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 client wearing corrective lenses has a visual acuity of 20/200. The nurse recognizes that the client:
Correct Answer: B
Rationale: The client whose vision is corrected to 20/200 is by definition legally blind because he is able to see at 20 feet what the healthy eye can see at 200 feet. Answer A refers to a refractive error, which is corrected by eyeglasses or one of the laser procedures. Answer C is an inability to focus on near objects due to a loss of elasticity of the lens and is corrected by the use of bifocal eye glasses. Answer D does not apply because the client would experience difficulty with vision at night or in dim lighting. Answers A, C, and D are incorrect because they do not explain what is meant by a visual acuity of 20/200.
Question 3 of 5
The nurse is caring for a client with a history of gastroesophageal reflux disease (GERD). Which of the following lifestyle modifications should the nurse recommend?
Correct Answer: C
Rationale: Avoiding lying down for 2–3 hours after eating prevents acid reflux by allowing gastric emptying. Large meals (
A) worsen reflux, sleeping flat (
B) increases symptoms, and citrus fruits (
D) are acidic and irritating.
Question 4 of 5
The nurse is assessing a client with a history of asthma who presents with wheezing and shortness of breath. The nurse should prioritize which of the following actions?
Correct Answer: A
Rationale: Wheezing and shortness of breath in asthma indicate bronchoconstriction, and administering a bronchodilator (e.g., albuterol) as ordered is the priority to relieve airway obstruction. Supine positioning (
B) worsens breathing, X-rays (
C) are diagnostic, and deep breathing (
D) is secondary.
Question 5 of 5
A nurse has just started on the 7PM surgical unit shift. Which of the following patients should the nurse check on first?
Correct Answer: B
Rationale: The new onset of urinary incontinence may require additional medical assessment, and the physician needs to be notified.