NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
The nurse is initiating a prescription for levothyroxine for a client with hypothyroidism. Which of the following actions would be most important for the nurse to take?
Correct Answer: B
Rationale: Levothyroxine is contraindicated in pregnancy without careful monitoring due to fetal risks, so confirming a negative pregnancy test is critical. Menstrual history is less urgent, mouth/throat assessment is unrelated, and teaching symptoms is important but secondary.
Question 2 of 5
A client is admitted with right lower quadrant pain, nausea, and a temperature of 100°F. What does the nurse expect will be done initially?
Correct Answer: C
Rationale: Symptoms suggest appendicitis; a CBC is initial to assess for infection (elevated WB
C), guiding further diagnostic steps.
Question 3 of 5
Which of the following observations indicates the possibility of a birth injury related to forceps delivery?
Correct Answer: A
Rationale: Asymmetry of the mouth may indicate facial nerve injury, a potential complication of forceps delivery due to pressure on the facial nerve.
Question 4 of 5
Which isolation procedure will be followed for secretions and blood?
Correct Answer: B
Rationale: Standard Precautions apply to all body fluids except sweat, including blood and secretions, to reduce transmission risk in all client interactions. Safety and Infection Control
Question 5 of 5
The nurse is contributing to a staff education program about non-pharmacological pain management techniques for newborns and infants. Which of the following techniques should the nurse include in the program? Select all that apply.
Correct Answer: A,C,D,E
Rationale: Sucrose sucking, skin-to-skin contact, pacifier use, and swaddling reduce pain perception in infants. Cold packs are not recommended for newborns due to risk of tissue damage and ineffective pain relief in this context.