NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
The nurse is assessing a healthy child at the 2 year check up. Which of the following should the nurse report immediately to the health care provider?
Correct Answer: A
Rationale: Height and weight percentiles vary widely. Significant discrepancies in growth percentiles may indicate underlying health issues requiring further evaluation.
Question 2 of 5
A client with a history of bipolar disorder is admitted to the psychiatric unit during a manic episode. Which of the following interventions would be MOST appropriate for the nurse to include in the client's plan of care?
Correct Answer: B
Rationale: During a manic episode, a structured environment with limited stimulation reduces triggers for escalation and promotes safety. Group therapy (
A) may overwhelm, relaxation techniques (
C) are better for calmer states, and unrestricted decision-making (
D) can exacerbate impulsivity.
Extract:
Given Mr. Smith's clinical picture
Question 3 of 5
Which of the following would be the first diagnostic tests that must be performed?
Correct Answer: A
Rationale: Given suspicion of a stroke, the first test to perform would be a CT scan to determine the presence or absence of hemorrhage.
Extract:
Question 4 of 5
The nurse is caring for clients on the neurology unit. What would be the MOST appropriate action for the nurse to take after noting that a client suddenly developed a fixed and dilated pupil?
Correct Answer: D
Rationale: A fixed and dilated pupil is a neurological emergency, often indicating increased intracranial pressure (ICP) or brain herniation. Immediate physician notification is critical for timely intervention. Reassessing in five minutes delays care, checking visual acuity is irrelevant, and lowering the bed could worsen ICP.
Question 5 of 5
A client is given an opiate drug for pain relief following general anesthesia. The client becomes extremely somnolent with respiratory depression. The physician is likely to order the administration of:
Correct Answer: A
Rationale: Naloxone reverses opioid-induced respiratory depression and somnolence by antagonizing opioid receptors. The other medications have different indications and do not address opioid overdose. Pharmacological Therapies