NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
The nurse is preparing to administer a dose of enoxaparin (Lovenox) to a client with a pulmonary embolism. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Enoxaparin, a low-molecular-weight heparin, is administered subcutaneously in the abdomen (avoiding a 2-inch radius around the umbilicus) to ensure proper absorption. Deltoid injection (
A) is incorrect, massaging (
B) risks hematoma, and dilution (
D) is unnecessary.
Question 2 of 5
The mother of a 3-year-old is complaining that her son still throws temper tantrums when he doesn't get his way. How should the nurse advise the mother to respond?
Correct Answer: A
Rationale: This child is in Erikson's developmental stage of initiative versus guilt. Guilt develops when the child is made to feel bad about his behavior. Ignoring the negative behavior shows the child that he'll gain nothing through negative behavior such as temper tantrums. Promising the child a new toy or giving in to his demands will reinforce his negative behavior by rewarding his tantrums. Mimicking the child will make him feel guilty.
Question 3 of 5
In a child with suspected coarctation of the aorta, the nurse would expect to find
Correct Answer: D
Rationale: Bounding pulses in the arms. Coarctation causes increased blood flow and pressure in the upper extremities.
Question 4 of 5
A parent asks the nurse about a 6 year-old child's apparent need for punishment following a series of misbehaviors. The child was diagnosed with rheumatic fever a few weeks ago. Which response is most appropriate?
Correct Answer: D
Rationale: A major manifestation of rheumatic fever that reflects central nervous system involvement is chorea. Early symptoms of chorea include behavior changes and clumsiness. Chorea is characterized by sudden, aimless, irregular movements of the extremities, involuntary facial grimaces, speech disturbances, emotional lability, and muscle weakness.
Extract:
The school nurse found out that the boy in the class has head lice.
Question 5 of 5
What is your nursing priority?
Correct Answer: C
Rationale: Informing the mother ensures prompt treatment and prevents spread.