NCLEX-PN
Best NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for the child who has a virulent infection. The HCP prescribes cefazolin sodium IV 50 mg every 6 hours. The Pediatric Dosage Handbook states the safe range of cefazolin is 6.25 to 25 mg per kg per day. The child weighs 18 lb. What is the most appropriate action by the nurse?
Correct Answer: C
Rationale: Convert 18 lb to kg: 18 ÷ 2.2 = 8.18 kg. Safe range: 6.25–25 mg/kg/day = 51.13–204.5 mg/day. Prescribed dose: 50 mg × 4 = 200 mg/day, which is within the safe range.
Question 2 of 5
The nurse is reviewing the serum laboratory results for the 10-year-old diagnosed with chicken pox. Which value should be most concerning to the nurse? Place an X next to the value that is most concerning.
Correct Answer: B
Rationale: This question requires the nurse to identify abnormal lab values, such as elevated liver enzymes (e.g., AST/ALT) or thrombocytopenia, which could indicate complications like hepatitis or bleeding risk in chickenpox.
Question 3 of 5
A 25-year-old woman has admitted herself to the psychiatric unit for treatment of Valium addiction. She is currently taking 150 mg PO of Valium per day, which she gets from various doctors or buys off the streets. The first night she is on the unit, she dresses in a short, see-through nightgown and approaches the male nurse. She states that she is 'coming down' and just needs a little comforting and conversation. What is the best initial response by the nurse?
Correct Answer: A
Rationale: Requesting a bathrobe sets boundaries, maintaining professionalism while allowing for conversation, addressing her manipulative behavior appropriately.
Question 4 of 5
An elderly man tells the nurse that all his family members mumble when they talk. How should the nurse respond to this statement?
Correct Answer: B
Rationale: Perceiving speech as mumbling is a common sign of hearing loss in the elderly, warranting a hearing test.
Question 5 of 5
A woman is admitted to the detoxification unit. She admits to drinking increasingly larger amounts of alcohol for the past five years. What question is most important for the nurse to ask initially?
Correct Answer: B
Rationale: Knowing the time of the last drink is critical to anticipate the onset of withdrawal symptoms, which can be life-threatening.