NCLEX-PN
NCLEX PN Exam Practice Test Questions
Extract:
Question 1 of 5
The nurse is assisting with the admission of an 8-year-old client with suspected Reye syndrome. Which of the following information obtained during admission would be most consistent with the condition?
Correct Answer: D
Rationale: Reye syndrome is associated with aspirin use during viral infections like influenza, making recent influenza infection most consistent.
Question 2 of 5
The wife of a man who is diagnosed with angina pectoris asks the nurse how she would know if her husband had a heart attack rather than angina. What should the nurse include in the reply?
Correct Answer: A
Rationale: Myocardial infarction causes severe chest pain unresponsive to nitroglycerin, unlike angina, which typically resolves. Epigastric pain, arm radiation, or activity triggers are less definitive.
Question 3 of 5
An adult who has been well controlled on phenytoin (Dilantin) reports having had several seizures recently. Which comment made by the client is probably related to seizure activities?
Correct Answer: C
Rationale: Alcohol consumption (Happy Hour) can lower the seizure threshold, reducing phenytoin's effectiveness, likely causing seizures, unlike exercise, job changes, or ibuprofen.
Question 4 of 5
The nurse caring for newborns observes for jaundice. Which type of jaundice is likely to be most serious?
Correct Answer: A
Rationale: Jaundice within the first 24 hours suggests pathological causes like hemolytic disease, requiring urgent evaluation. Later jaundice is often physiologic and less severe.
Question 5 of 5
A parent calls the clinic about a 3-year-old who is sick with the flu. Which report by the parent would necessitate intervention by the nurse?
Correct Answer: B
Rationale: Bismuth subsalicylate is contraindicated in children with viral infections due to Reye syndrome risk, requiring intervention. Other actions are appropriate.