NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
The mother is concerned that her 6-year-old child is eating dirt every day. The nurse is most concerned about which of the following?
Correct Answer: B
Rationale: Pica, such as eating dirt, raises concern for lead poisoning, especially in children, as contaminated soil may contain lead, posing neurological risks.
Question 2 of 5
The nurse is caring for a client who has bleeding esophageal varices. What should the nurse expect might develop in this client? Select all that apply.
Correct Answer: A,B
Rationale: Bleeding varices cause blood loss, leading to tarry stools (melena) from digested blood and confusion from hepatic encephalopathy due to liver dysfunction. Abdominal pain, hypertension, tremors, or hallucinations are less directly related.
Question 3 of 5
A client who had bowel surgery is to be NPO for several days. The nurse anticipates that the client will have an order for:
Correct Answer: C
Rationale: Parenteral nutrition provides nutrients intravenously for clients NPO post-bowel surgery, bypassing the gastrointestinal tract.
Question 4 of 5
The nurse is talking with the parent of an adolescent client who has infectious mononucleosis. Which of the following statements by the parent would require follow-up?
Correct Answer: B
Rationale: Mononucleosis is viral, so antibiotics (
B) are not indicated, requiring follow-up. Acetaminophen (
A), avoiding sports (
C), and prolonged fatigue (
D) are correct.
Question 5 of 5
A client is admitted with infective endocarditis (IE). Which finding would alert the nurse to a complication of this condition?
Correct Answer: B
Rationale: Large, soft, rapidly developing vegetations attach to the heart valves. They have a tendency to break off, causing emboli and leaving ulcerations on the valve leaflets. These emboli produce findings of cardiac murmur, fever, anorexia, malaise and neurologic sequelae of emboli.