NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 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 2 of 5
The nurse is assessing a 7-year-old client who was recently admitted with nausea, vomiting, severe right lower quadrant pain, and an elevated WBC count. Which of the following statements by the client would be a priority to follow up?
Correct Answer: C
Rationale: Resolution of pain (
C) in suspected appendicitis may indicate perforation, a surgical emergency, requiring urgent follow-up. Fatigue (
A), hunger (
B), and dislike of hospitals (
D) are less critical.
Question 3 of 5
An RN who usually works in a spinal rehabilitation unit is floated to the emergency department. Which of these clients should the charge nurse assign to this RN?
Correct Answer: C
Rationale: Nurses who are floated to other units should be assigned to a client who has minimal anticipated immediate complications of their problem. The client in option C exhibits opioid toxicity with the pinpoint pupils and has the least risk of complications occurring in the near future.
Question 4 of 5
Which of the following organs is most likely to suffer permanent damage from shock?
Correct Answer: D
Rationale: The kidneys are highly susceptible to permanent damage from shock due to reduced perfusion, leading to acute kidney injury.
Question 5 of 5
A parent has numerous questions regarding normal growth and development of a 10 month-old infant. Which of the following parameters is of most concern to the nurse?
Correct Answer: A
Rationale: 50% increase in birth weight. Birth weight should double by 6 months, indicating potential growth issues that require further evaluation.