NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
Nursing considerations when caring for African-American clients include that:
Correct Answer: B
Rationale: African-American clients may require specific hair, skin, and nail care due to unique characteristics, like curly hair or skin sensitivity. The other generalizations are inaccurate or stereotypical. Psychosocial Integrity
Question 2 of 5
The mother of a burned child asks the nurse to clarify what is meant by a third degree burn. The best response by the nurse is
Correct Answer: C
Rationale: All layers of the skin were destroyed in the burn.' A third degree burn is a full thickness injury to dermis, epidermis and subcutaneous tissue.
Question 3 of 5
Fat emulsions are frequently administered as a part of total parenteral nutrition. Which statement is true regarding fat emulsions?
Correct Answer: A
Rationale: Fat emulsions provide a high energy-to-fluid-volume ratio (e.g., 2 kcal/mL for 20% solutions), making them efficient for TPN. They are isotonic and pH-neutral, not hypertonic or alkaline. Pharmacological Therapies
Question 4 of 5
A client can receive the mumps, measles, rubella (MMR) vaccine if he or she:
Correct Answer: D
Rationale: A mild cold without fever does not contraindicate MMR vaccination. Pregnancy, immunocompromise, and neomycin allergy are contraindications due to live virus risks or anaphylaxis. Pharmacological Therapies
Question 5 of 5
The practical nurse is caring for a client with newly diagnosed infective endocarditis. Which assessment finding by the nurse is the most concerning?
Correct Answer: A
Rationale: Pain and pallor in one foot suggest an embolic event, a serious complication of infective endocarditis that could lead to tissue ischemia or infarction, requiring urgent intervention. Knee pain, splinter hemorrhages, and mild fever are less immediately threatening.