NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Question 1 of 5
The clinic nurse is planning to assess the visual acuity of a 6-year-old. Which method is the best way to assess visual acuity in this child?
Correct Answer: B
Rationale: The tumbling E chart (
B) is age-appropriate for a 6-year-old, who may not know letters. Allen cards (
A) are for younger children, Snellen at 10 ft (
C) is non-standard, and Ishihara (
D) tests color vision.
Question 2 of 5
During change-of-shift report, the nurse going off duty notes that the nurse coming on has an alcohol smell on the breath and slurred speech. What actions are most important for the nurse to take?
Correct Answer: B,C
Rationale: Notifying the charge nurse (
C) and documenting (
B) ensure patient safety and follow protocol. Stopping handoff (
A) disrupts care continuity. Watching silently (
D) delays action, and confronting directly (E) may escalate the situation.
Question 3 of 5
A mother calls the pediatrician's office stating that her 15-month-old son received an MMR vaccination yesterday. Today, the site of the injection is red, warm, and puffy. What is the best action for the nurse to take?
Correct Answer: D
Rationale: Mild redness, warmth, and swelling at the MMR injection site are expected reactions, resolving without intervention.
Question 4 of 5
A client with moderate Alzheimer disease is started on memantine. What should the nurse monitor to evaluate the effectiveness of this medication?
Correct Answer: A
Rationale: Memantine may slow decline and improve daily functioning (
A). It does not stop progression (
B), provide rapid improvement (
C), or reverse Alzheimer's (
D).
Question 5 of 5
The nurse is preparing to take a toddler's blood pressure for the first time. Which of the following actions should the nurse perform first?
Correct Answer: D
Rationale: Permit handling the equipment before putting the cuff in place. The best way to gain the toddler's cooperation is to encourage handling the equipment. Detailed explanations are not helpful.