NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
The nurse is caring for a frail elderly client in her home. Which behavior, if observed or reported, should the nurse report to the supervisor for further evaluation of possible abuse?
Correct Answer: B
Rationale: Leaving a frail client alone for hours poses neglect risk, warranting abuse evaluation. Guardianship, brown spots, or yelling are less definitive without context.
Question 2 of 5
The clinic nurse evaluates a client who was prescribed lithium therapy a month ago for bipolar disorder. Which client statement would cause the most concern?
Correct Answer: C
Rationale: Stomach flu (
C) can cause dehydration, increasing lithium toxicity risk, requiring immediate concern. Naps (
A), weight gain (
B), and dry mouth (
D) are less urgent side effects.
Question 3 of 5
The nurse is caring for a client who has congestive heart failure. Which finding indicates that her condition is getting worse?
Correct Answer: B
Rationale: A decrease in blood pressure suggests worsening cardiac output in congestive heart failure, indicating decompensation.
Question 4 of 5
What would the nurse expect to see while assessing the growth of children during their school age years?
Correct Answer: D
Rationale: School age children gain about 5.5 pounds each year and increase about 2 inches in height.
Question 5 of 5
A child on the playground is experiencing an anaphylactic reaction. The school nurse arrives with an EpiPen. The weather is cold and the child is wearing several layers of clothing. How should the nurse proceed with the EpiPen?
Correct Answer: C
Rationale: Injecting through clothing into the thigh (
C) ensures rapid administration during anaphylaxis. Arm injection (
A) is incorrect, IV injection (
B) is not for EpiPens, and delaying to remove clothing (
D) is dangerous.