NCLEX-PN
NCLEX PN Practice Test Questions
Extract:
Question 1 of 5
The nurse is reinforcing home care instructions for the parents of a child diagnosed with rotavirus infection. Which of the following statements by the parents indicate that the teaching has been effective? Select all that apply.
Correct Answer: A,B,E
Rationale: Handwashing (
A), monitoring dehydration (
B), and recognizing transmission routes (E) are correct. Waiting to breastfeed (
C) delays nutrition, and alcohol wipes (
D) irritate skin, indicating ineffective teaching.
Question 2 of 5
The nurse has reinforced teaching with the parent of a 3-year-old client who has acute diarrhea. Which of the following statements by the parent would require follow-up?
Correct Answer: C
Rationale: The BRAT diet (
C) is outdated and may lack nutrients, risking prolonged recovery. Skin barrier cream (
A), frequent fluids (
B), and monitoring urine output (
D) are appropriate for preventing skin breakdown, dehydration, and detecting complications.
Question 3 of 5
The nurse is talking with the parent of a 15-month-old client who is scheduled to receive the varicella vaccine. Which of the following statements would be appropriate for the nurse to make? Select all that apply.
Correct Answer: A,C,D
Rationale: The varicella vaccine may cause a low-grade fever (
A) or a rash at the injection site (
C) as common side effects. A second dose (
D) is required at 4-6 years for full immunity. Aspirin (
B) is contraindicated in children due to Reye’s syndrome risk. Other vaccines (E) can be given concurrently, per CDC guidelines, unless contraindicated.
Question 4 of 5
A client with emphysema comes for a routine follow-up visit. The nurse assisting with the initial assessment knows that which manifestations are characteristic of emphysema? Select all that apply.
Correct Answer: A,C,D
Rationale: Emphysema causes air trapping, leading to barrel chest (
A), reduced exercise capacity (
C), and diminished breath sounds (
D). Crackles (
B) suggest fluid, and sputum (E) is more typical of chronic bronchitis.
Question 5 of 5
The nurse is planning care for all of the following clients. Which client should be cared for first?
Correct Answer: B
Rationale: The 75-year-old post-prostatectomy client's request to remove the catheter and urgency to urinate suggest potential catheter obstruction or bladder irritation, which could lead to complications like infection or bladder damage. This requires immediate assessment and intervention, taking priority over routine dressing changes, scheduled mobility, or pain management.