NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
When reviewing the immunization schedule for a 12-month-old, the nurse would expect that the infant had been previously immunized against:
Question 1 of 5
Pertussis, tetanus, polio, and measles.
Correct Answer: B
Rationale: The recommended immunization schedule for infants includes administration of the combined diphtheria, pertussis, and tetanus vaccine and the trivalent oral polio virus at ages 2, 4, and 6 months.
Extract:
Question 2 of 5
The nurse is assessing a client with chronic renal failure receiving peritoneal dialysis. Which of the following findings would require an intervention by the nurse?
Correct Answer: C
Rationale: Cloudy drainage from the catheter site indicates peritonitis, a serious complication requiring immediate intervention (e.g., antibiotics, physician notification). Abdominal fullness (
A) and bruising (
D) are common during early exchanges, and constipation (
B) is managed with diet or stool softeners.
Question 3 of 5
The physician has ordered crutches and specified that the client use a four-point gait. Which action by the client indicates an understanding of the four-point gait?
Correct Answer: D
Rationale: Four-point gait alternates each crutch and foot (left foot, right crutch, right foot, left crutch), providing maximum stability.
Extract:
The client is taking Aminophylline.
Question 4 of 5
The nurse knows that the client is having problem if she observes that the client is:
Correct Answer: B
Rationale: Restlessness is a sign of aminophylline toxicity, indicating a need for intervention.
Extract:
Question 5 of 5
The client's mother contacts the clinic regarding medication administration stating, 'My daughter can't swallow this capsule. It's too large.' Investigation reveals that the medication is a capsule marked SR. The nurse should instruct the mother to:
Correct Answer: C
Rationale: SR (sustained release) capsules cannot be opened or crushed, as this alters their release mechanism. The pharmacist should be contacted for an alternative formulation.