NCLEX-PN
NCLEX PN Practice Test Questions
Extract:
Question 1 of 5
The nurse is preparing to administer IV cefazolin to a newly admitted client with cellulitis. The nurse notes the client is allergic to amoxicillin. Which of the following actions should the nurse take next?
Correct Answer: D
Rationale: Clients with an allergy to penicillin antibiotics (eg, amoxicillin) can experience a cross-sensitivity reaction
to cephalosporin antibiotics (eg, cefazolin) because the medication molecules are structurally similar. The
nurse should first obtain more information by asking about the type of reaction the client experienced because
allergic reactions can range from mild to severe (Option 4)
Cephalosporins can be safely administered to clients with a history of mild allergic reaction to penicillin (eg,
rash) but are contraindicated for clients with a history of anaphylaxis.
Question 2 of 5
Which of the following activities is most suitable for a 10-year old with asthma?
Correct Answer: B
Rationale: Swimming is ideal for children with asthma, as the humid environment reduces airway irritation, unlike high-exertion sports like soccer or basketball.
Question 3 of 5
A client diagnosed with endometrial cancer is receiving brachytherapy. Which interventions should the nurse anticipate for this client? Select all that apply.
Correct Answer: A,C,D,E
Rationale: Brachytherapy involves internal radiation, requiring precautions to minimize exposure. Clustering care (
A) reduces staff exposure time. Limiting visitor contact (
C) protects others from radiation. Protective shielding (
D) and radiation badges (E) ensure safety and monitor exposure. Ambulation (
B) is restricted to prevent dislodging the radiation source.
Question 4 of 5
A young adult is admitted to the psychiatric unit because she has become very withdrawn and has stopped attending college classes. She sits for hours rocking back and forth and appears to be talking to someone at intervals. She does not eat or bathe or relate to others. How should the nurse approach this client upon admission?
Correct Answer: C
Rationale: A withdrawn client may be overwhelmed by detailed explanations. Brief information and quiet presence build trust and reduce anxiety.
Question 5 of 5
The nurse is talking with a client with macular degeneration. Which of the following statements by the client would be consistent with the condition?
Correct Answer: C
Rationale: Macular degeneration affects central vision, causing a blurry or dark spot in the visual field, as described in (
C), due to damage to the macula. Flashes of light (
A) suggest retinal issues, peripheral vision loss (
B) is typical of glaucoma, and difficulty reading up close (
D) relates to presbyopia.