NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
The nurse in the emergency department is caring for a client who has facial lacerations, a suspected fracture of the arm, and multiple bruises at various stages of healing. The client's spouse is at the bedside and appears angry. Which of the following actions would be a priority for the nurse take?
Correct Answer: B
Rationale: Multiple bruises at various stages suggest possible abuse, so talking privately with the client (
B) is the priority to assess safety. Social services (
A) may follow, but immediate safety assessment comes first. Treating injuries (C,
D) is secondary.
Question 2 of 5
The nurse is preparing to administer an anticholinergic medication to a client with irritable bowel syndrome. Which of the following findings would require follow-up prior to administering the medication?
Correct Answer: A
Rationale: Anticholinergics can worsen urinary retention, so 650 mL post-void residual (
A) requires follow-up. Macular degeneration (
B), loose stools (
C), and fatigue (
D) are not contraindications.
Question 3 of 5
The nurse is caring for a 12-month-old client who is HIV-positive and severely immunosuppressed. Which of the following scheduled immunizations should the nurse anticipate administering to the client? Select all that apply.
Correct Answer: A,D
Rationale: Hib (
A) and PCV (
D) are inactivated vaccines, safe for immunosuppressed children. MMR (
C) and varicella (E) are live vaccines, contraindicated. Hepatitis A (
B) is not routine at 12 months.
Question 4 of 5
A client has been newly diagnosed with hypothyroidism and will take levothyroxine (Synthroid) 50 mcg/day by mouth. As part of the teaching plan, the nurse emphasizes that this medication:
Correct Answer: A
Rationale: Should be taken in the morning. Thyroid supplement should be taken in the morning to minimize the side effect of insomnia.
Question 5 of 5
The practical nurse is performing a physical examination with the registered nurse on a 2-year-old with cold symptoms and a fever at home of 101.7 F (38.7 C). Which interventions will enhance the child's cooperation during the examination? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Playing with the stethoscope (
A), starting in the parent's lap (
B), friendly interaction (
C), and using a puppet (
D) reduce anxiety and enhance cooperation. Vital signs (E) may distress the child if done first.