NCLEX-PN
NCLEX PN Practice Test Questions
Extract:
Question 1 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 2 of 5
A client with active pulmonary tuberculosis is prescribed 4-drug therapy with ethambutol. The nurse reinforces previous teaching to notify the health care provider immediately if which adverse effect associated with ethambutol occurs?
Correct Answer: A
Rationale: Ethambutol can cause optic neuritis, leading to blurred vision (
A), a serious side effect requiring immediate reporting. Dark urine (
B), hearing loss (
C), and jaundice (
D) are associated with other TB drugs (e.g., rifampin, isoniazid).
Question 3 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 4 of 5
Which response by the nurse would best assist the chemically impaired client to deal with issues of guilt?
Correct Answer: B
Rationale: This response encourages the client to get in touch with their feelings and utilize problem-solving steps to reduce guilt feelings.
Question 5 of 5
The nurse is caring for assigned clients. The nurse should first check the
Correct Answer: A
Rationale: A 3-year-old with fever, hip pain, and refusal to move the leg (
A) may indicate a serious condition like septic arthritis or osteomyelitis, requiring immediate assessment to prevent joint damage or systemic infection. Sinus congestion (
B) and urinary symptoms (
D) are less urgent, and the nosebleed (
C) is being managed with pressure, making them lower priorities.