NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
The nurse is reinforcing teaching to the parent of a child recently diagnosed with attention deficit hyperactivity disorder, combined type. Which statement by the parent requires intervention?
Correct Answer: C
Rationale: ADHD often persists into adulthood, so stating it will be outgrown by age 20 (
C) is incorrect and requires intervention. Limiting choices (
A), advocating for an IEP (
B), and focusing during conversations (
D) are appropriate.
Question 2 of 5
The nurse is caring for an infant who has a prescription for amoxicillin 25 mg/kg/day in 2 divided doses. The client weighs 16.5 lb (7.5 kg). The nurse has amoxicillin oral suspension 125 mg/5 mL available. How many mL should the nurse administer to the client with each dose? Record your answer using 2 decimal places.
Correct Answer: 3.75 mL/dose
Rationale: Calculation: 7.5 kg × 25 mg/kg/day = 187.5 mg/day. Divided into 2 doses = 93.75 mg/dose. 125 mg/5 mL = 25 mg/mL. 93.75 mg ÷ 25 mg/mL = 3.75 mL/dose (
A).
Question 3 of 5
A client with a history of increased intracranial pressure is admitted to the hospital for severe headaches. The client suddenly vomits and states, 'That's weird, I didn't even feel nauseated.' Which action should the nurse take next?
Correct Answer: C
Rationale: Sudden vomiting without nausea in increased ICP suggests worsening pressure, requiring immediate RN notification (
C). Documentation (
A), lowering the bed (
B), and antiemetics (
D) are secondary.
Question 4 of 5
An adult has been diagnosed with Bell's palsy and asks what causes it. The nurse knows that which of the following is correct?
Correct Answer: B
Rationale: The exact cause of Bell's palsy is unknown, though it may be associated with viral infections or inflammation, but not specifically chickenpox, flu, or trauma.
Question 5 of 5
The nurse is caring for an older adult client who is confused and has a high risk for falls. The client is incontinent of urine and frequently attempts to get out of bed unassisted to use the restroom. Which nursing interventions are appropriate when caring for this client? Select all that apply.
Correct Answer: A,B,D
Rationale: Bed alarms (
A), hourly rounding (
B), and proximity to the nurses' station (
D) enhance safety and monitoring. Catheters (
C) increase infection risk and are not first-line, and raising all side rails (E) is a restraint and unsafe.