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NCLEX PN Exam Practice Test Questions

Extract:


Question 1 of 5

The nurse in the outpatient clinic is talking with a client who sustained a distal fracture of the humerus and had a cast applied 2 days ago. Which of the following statements by the client would be a priority to follow up?

Correct Answer: C

Rationale: Difficulty extending fingers suggests nerve compression or compartment syndrome, a priority for follow-up. Other statements are less urgent.

Question 2 of 5

The nurse is teaching a mother how to administer eardrops to her children who are 1 and 6 years old. What should be included in the teaching?

Correct Answer: A

Rationale:
To straighten the ear canal of infants and toddlers, the ear needs to be pulled down and back.
To straighten the ear canal of older children, the ear should be pulled up and back.

Question 3 of 5

A nurse is planning to complete a physical examination of a toddler. Which approach is an appropriate intervention by the nurse?

Correct Answer: A

Rationale: Parental involvement reduces toddler anxiety during exams. Removing clothing first, visible equipment, or strict head-to-toe order may increase distress.

Question 4 of 5

Clients taking which of the following drugs are at risk for depression?

Correct Answer: A

Rationale: Steroids. Corticosteroids can cause depression as a side effect, which may persist even after discontinuation.

Extract:

Laboratory reference ranges
Creatinine
Male: 0.6-1.3 mg/dL
(53-114.9 μmol/L)

Female: 0.5-1.2 mg/dL
(44.2-106.1 μmol/L)
Hemoglobin
Male: 14.0-18.0 g/dL
(140-180 g/L)

Female: 12.0-16.0 g/dL
(120-160 g/L)
Platelets
150,000-400,000/mm3
(150-400 × 109/L)


Question 5 of 5

A client is scheduled for a percutaneous kidney biopsy at 1000. The practical nurse reviews the client's vital signs and most current serum laboratory results at 0600. Which of the following client findings is most important to report to the registered nurse?

Correct Answer: B

Rationale: Severe hypertension (180/100 mm Hg) increases bleeding risk during a kidney biopsy, requiring immediate reporting. Other findings are concerning but less urgent.

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