NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a woman admitted with thrombocytopenia. Which instruction should the nurse give the client?
Correct Answer: B
Rationale: Thrombocytopenia increases bleeding risk; avoiding dental floss or firm toothbrushes prevents gum bleeding, a priority precaution.
Extract:
When reviewing the immunization schedule for a 12-month-old, the nurse would expect that the infant had been previously immunized against:
Question 2 of 5
Pertussis, tetanus, polio, and measles.
Correct Answer: B
Rationale: The recommended immunization schedule for infants includes administration of the combined diphtheria, pertussis, and tetanus vaccine and the trivalent oral polio virus at ages 2, 4, and 6 months.
Extract:
Question 3 of 5
A 15 month-old child comes to the clinic for a follow-up visit after hospitalization for treatment of Kawasaki Disease. The nurse recognizes that which of the following scheduled immunizations will be delayed?
Correct Answer: A
Rationale: MMR. Medical management of Kawasaki involves administration of immunoglobulins. Measles, mumps, rubella (MMR) is a live virus vaccine, and its administration should be delayed to ensure the body’s ability to form antibodies.
Question 4 of 5
A young adult who was in a motorcycle accident is brought to the emergency room with a closed head injury with suspected subdural hematoma. Although the client complains of a severe headache, he is alert and answers questions appropriately. The nurse would question which of the following orders?
Correct Answer: B
Rationale: Morphine sulfate, a narcotic analgesic, causes central nervous system (CNS) and respiratory depression. In patients with head injuries, it is contraindicated because it masks signs of increased intracranial pressure (ICP), such as changes in level of consciousness, which are critical for monitoring neurological status. Promethazine is an antiemetic, docusate is a stool softener, and ranitidine prevents stress ulcers, none of which pose the same risk in this context.
Question 5 of 5
With an alert of an internal disaster and the need for beds, the charge nurse is asked to list clients who are potential discharges within the next hour. Which client should the charge nurse select?
Correct Answer: A
Rationale: This client is the most stable and has a chronic condition. Tylenol intoxication requires at least 3 to 4 days of intensive observation for the risk of hepatic failure. The other clients would be considered unstable.