NCLEX-PN
NCLEX PN Exam Practice Test Questions
Extract:
Question 1 of 5
The nurse is caring for clients who are having the following procedures. Which client should be asked about allergies to shellfish?
Correct Answer: C
Rationale: Myelograms often use iodine-based contrast; shellfish allergies may indicate iodine sensitivity, requiring verification. Arthroscopy, arthrocentesis, and EMG do not typically involve contrast.
Question 2 of 5
The nurse is reinforcing teaching with the parents of a 6-year-old client who is experiencing fecal incontinence related to functional constipation. Which of the following information should the nurse reinforce? Select all that apply.
Correct Answer: B,C,D,E
Rationale: Reward systems, foot stools, increased fluids, and tracking bowel movements aid in managing constipation. Sitting for 30 minutes is excessive and impractical.
Question 3 of 5
The nurse is monitoring a newborn with skin discoloration in the buttock and lumbar area. Which action by the nurse is appropriate? Click the exhibit button for additional information.
Correct Answer: B
Rationale: Skin discoloration in the buttock and lumbar area of a newborn is often due to Mongolian spots (also called congenital dermal melanocytosis). These are benign, flat, bluish-gray patches typically found on the lower back or buttocks. They are more common in infants with darker skin tones and are not harmful, but they can be mistaken for bruises, which raises concern for abuse later on.
The appropriate nursing action is to measure and document the size, shape, and location of the spots in the medical record. This ensures that there is a clear, dated record of the findings to avoid confusion in the future.
Question 4 of 5
A nurse is planning to complete a physical examination of a toddler. Which approach is an appropriate intervention by the nurse?
Correct Answer: A
Rationale: Parental involvement reduces toddler anxiety during exams. Removing clothing first, visible equipment, or strict head-to-toe order may increase distress.
Question 5 of 5
The nurse is teaching a mother how to administer eardrops to her children who are 1 and 6 years old. What should be included in the teaching?
Correct Answer: A
Rationale:
To straighten the ear canal of infants and toddlers, the ear needs to be pulled down and back.
To straighten the ear canal of older children, the ear should be pulled up and back.