NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
The nurse is reinforcing medication instructions for the parents of a child prescribed amoxicillin/clavulanate (liquid) twice a day for acute sinusitis. Which instructions are most important for the parents to remember? Select all that apply.
Correct Answer: A, B, D
Rationale: Taking with food (
A) reduces GI upset, completing the course (
B) prevents resistance, and shaking well (
D) ensures proper dosing. Rash (
C) is not normal and requires evaluation, and household spoons (E) are inaccurate.
Question 2 of 5
A postoperative client with obesity and diabetes mellitus has an abdominal wound and is at risk for poor wound healing. Which of the following interventions does the nurse anticipate to prevent wound dehiscence? Select all that apply.
Correct Answer: B, D, E
Rationale: Abdominal binder (
B), glucose control (
D), and pillow hugging (E) reduce wound stress and promote healing. Docusate (
A) prevents constipation but not dehiscence, and caloric restriction (
C) is inappropriate post-surgery.
Question 3 of 5
A client diagnosed with cirrhosis is experiencing pruritus. Which strategies are appropriate for the nurse to teach the client to promote comfort and skin integrity? Select all that apply.
Correct Answer: A, C, D
Rationale: Short fingernails (
A), cholestyramine timing (
C), and moisturizing cream (
D) reduce itching and protect skin. Hot water (
B) worsens itching, and wool gloves/tight stockings (E) may irritate skin.
Question 4 of 5
Which test for diabetes measures the long-term management of the disease?
Correct Answer: D
Rationale: Glycosylated hemoglobin (HbA1c) measures average blood glucose over 2-3 months, assessing long-term diabetes control, unlike fasting, tolerance, or finger stick tests, which are short-term.
Question 5 of 5
A child on the playground is experiencing an anaphylactic reaction. The school nurse arrives with an EpiPen. The weather is cold and the child is wearing several layers of clothing. How should the nurse proceed with the EpiPen?
Correct Answer: C
Rationale: Injecting through clothing into the thigh (
C) ensures rapid administration during anaphylaxis. Arm injection (
A) is incorrect, IV injection (
B) is not for EpiPens, and delaying to remove clothing (
D) is dangerous.