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C) is outdated and may lack nutrients, risking prolonged recovery.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 is reviewing a depressed client's history from an earlier admission. Documentation of anhedonia is noted. The nurse understands that this finding refers to
Correct Answer: C
Rationale: Lack of enjoyment in usual pleasures. Anhedonia, a common finding in depression, is the lack of enjoyment in usual pleasures.
Question 3 of 5
A nurse is caring for a client 2 days after surgical creation of an arteriovenous fistula in the forearm. Which finding should the nurse report immediately to the health care provider?
Correct Answer: C
Rationale: Pale skin in the hand (
C) suggests vascular compromise, risking fistula failure or ischemia, requiring immediate reporting. Edema (
A) is common, a swooshing sound (
B) indicates patency, and mild pain (
D) is expected.
Question 4 of 5
The nurse has reinforced teaching about formula preparation with the parent of a newborn. Which of the following statements by the parent would indicate a correct understanding of the teaching? Select all that apply.
Correct Answer: A,B,D
Rationale: Microwaving (
A) can cause uneven heating, risking burns, so it’s avoided. Washing the can top (
B) prevents contamination. Refrigerated formula must be discarded after 24 hours (
D) to prevent bacterial growth. Diluting less (
C) alters nutrition, and bottled water (E) may need boiling depending on safety, indicating incorrect understanding.
Question 5 of 5
A mother noticed a large abdominal mass when helping her 3-year-old child bathe. The child is taken to the physician and admitted to the hospital after an intravenous pyelogram (IVP) confirms the diagnosis of Wilms' tumor. Which nursing action is essential to include in the nursing care plan?
Correct Answer: B
Rationale: Avoiding abdominal palpation prevents potential tumor rupture or metastasis in Wilms' tumor, a critical precaution. Urine straining, dialysis, or poor prognosis are inappropriate.