NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
Parents of a 6 month-old breast fed baby ask the nurse about increasing the baby's diet. Which of the following should be added first?
Correct Answer: A
Rationale: Cereal. Strained cereal is recommended as the first solid food for breastfed infants, per pediatric guidelines.
Question 2 of 5
A client is admitted to the emergency room following an acute asthma attack. Which of the following assessments would be expected by the nurse?
Correct Answer: A
Rationale: In asthma, the airways are narrowed, creating difficulty getting air in. A wheezing sound results.
Question 3 of 5
A 78 year-old client with pneumonia has a productive cough, but is confused. Safety protective devices (restraints) have been ordered for this client. How can the nurse prevent aspiration?
Correct Answer: C
Rationale: Obtain a sitter for the client while restrained. The plan to use safety devices (restraints) should be rethought. Restraints are used to protect the client from harm caused by removing tubes or getting out of bed. In the event that this restricted movement could cause more harm, such as aspiration, then a sitter should be requested. These are to be provided by the facility in the event the family cannot do so. This client needs to cough and be watched rather than restricted. Suctioning will not prevent aspiration in this situation. Cough suppressants should be avoided for this client.
Question 4 of 5
The nurse is preparing to administer several medications through a client's feeding tube. None of the medications are extended release. Which of the following actions should the nurse implement? Select all that apply.
Correct Answer: B, C, D
Rationale: Crushing separately (
B) prevents interactions, liquid forms (
C) are preferred, and flushing (
D) ensures patency. Combining all medications (
A) or mixing with formula (E) can cause clogs or interactions.
Question 5 of 5
The nurse reinforces education to the parent of a child who was diagnosed with attention-deficit hyperactivity disorder and received a prescription of methylphenidate. Which statement by the parent best demonstrates that teaching has been effective?
Correct Answer: C
Rationale: Taking methylphenidate before 6:00 PM (
C) prevents sleep disruption, indicating effective teaching. Diet changes (
A), self-management (
B), and no monitoring (
D) are incorrect or incomplete.