NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
The nurse is preparing to administer ear drops to a 5-year-old client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Pulling the pinna upward and back (
A) straightens the ear canal in children over 3. Sitting with chin down (
B), touching the canal (
C), or cold drops (
D) are incorrect.
Question 2 of 5
A client with a panic disorder has a new prescription for Xanax (alprazolam). In teaching the client about the drug's actions and side effects, which of the following should the nurse emphasize?
Correct Answer: A
Rationale: Short-term relief can be expected. Xanax is a short-acting benzodiazepine useful in controlling panic symptoms quickly.
Question 3 of 5
A client with obesity reports several failed attempts at weight loss. Which client statement best indicates that the client is ready and motivated for successful weight loss?
Correct Answer: A
Rationale: Signing up as a dog walker (
A) shows a concrete behavioral change, indicating readiness. Understanding benefits (
B), short-term goals (
C), or external encouragement (
D) are less indicative of sustained motivation.
Question 4 of 5
The nurse is caring for a 4-year-old child in the emergency department who has a 104 F (40 C) temperature, is obtunded, and has a positive Kernig's sign. The parents are refusing antibiotics and any treatment. The parents state that their religious belief is to trust in just prayer and believe the child will receive divine healing. What action does the nurse anticipate?
Correct Answer: C
Rationale: A 4-year-old with suspected meningitis requires urgent treatment. Notifying administration (
C) ensures legal and ethical intervention to protect the child. AMA (
A), power of attorney (
B), or respecting autonomy (
D) are inappropriate for a minor.
Question 5 of 5
A client just diagnosed with methicillin-resistant Staphylococcus aureus septic arthritis is receiving the first dose of IV vancomycin. Which finding is most concerning to the nurse?
Correct Answer: D
Rationale: Wheezing and hives (
D) indicate a possible anaphylactic reaction, the most concerning finding. Muscle pain (
A), flushing/pruritus (
B), and low blood pressure (
C) are less immediately life-threatening.