NCLEX-PN
NCLEX PN Practice Test Questions
Extract:
Question 1 of 5
The nurse has reinforced teaching with the parent of a 3-year-old client who has acute diarrhea. Which of the following statements by the parent would require follow-up?
Correct Answer: C
Rationale: The BRAT diet (
C) is outdated and may lack nutrients, risking prolonged recovery. Skin barrier cream (
A), frequent fluids (
B), and monitoring urine output (
D) are appropriate for preventing skin breakdown, dehydration, and detecting complications.
Question 2 of 5
The nurse should recognize that physical dependence is accompanied by what findings when alcohol consumption is first reduced or ended?
Correct Answer: B
Rationale: Withdrawal. Early withdrawal symptoms, including nausea and tremor, appear within hours of reducing alcohol intake.
Question 3 of 5
The nurse is to change a dressing. Which is essential to do when opening the dressing set?
Correct Answer: A
Rationale: The first flap should be opened away from the nurse to allow the last flap to be opened toward the nurse, preventing contamination. The dressing set should be placed at waist height on a clean surface like an overbed table, not on the bed or a chair.
Question 4 of 5
A client with gout who was started on allopurinol a week ago calls the health care provider’s office with several concerns. The nurse should recognize which report by the client as being significant and requiring immediate follow-up?
Correct Answer: C
Rationale: A rash (
C) may indicate a hypersensitivity reaction to allopurinol, potentially progressing to severe conditions like Stevens-Johnson syndrome, requiring immediate follow-up. Ibuprofen (
A), urination (
B), and nausea (
D) are less urgent.
Question 5 of 5
The nurse is observing a staff member preparing regular insulin and NPH insulin in 1 syringe. The nurse should intervene if the staff member is observed
Correct Answer: A
Rationale: When mixing regular and NPH insulin, regular (clear) insulin is drawn first to prevent contamination with NPH (cloudy) insulin, which could alter its action. Drawing NPH after regular (
A) is incorrect and requires intervention. Injecting air into vials (
B) follows the same order (NPH then regular), which is correct. Needle contact with the vial (
C) is poor technique but less critical than incorrect insulin order.