NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
The nurse is teaching a client about managing gastroesophageal reflux disease (GERD). Which instruction is most appropriate?
Correct Answer: C
Rationale: Avoiding food 2–3 hours before bedtime reduces reflux by allowing gastric emptying.
Question 2 of 5
A 78-year-old client arrives at the hospital and is suspected of having pneumonia. Which laboratory test should be performed to confirm the diagnosis?
Correct Answer: D
Rationale: A sputum culture identifies the causative organism in pneumonia, confirming the diagnosis.
Question 3 of 5
A physician orders 2 mg/kg of a drug. If the client weighs 88 pounds, how many milligrams of the medication should the nurse administer?
Correct Answer: A
Rationale: 88 pounds ÷ 2.2 = 40 kg; 2 mg/kg × 40 kg = 80 mg.
Question 4 of 5
Which statement made by the parents of a toddler best suggests that the child has cystic fibrosis?
Correct Answer: A
Rationale: Salty perspiration is a hallmark of cystic fibrosis due to defective chloride transport, detectable through a sweat chloride test.
Question 5 of 5
The nurse is teaching the client and the family members about protection measures when the client, diagnosed with AIDS, returns home. Which instruction indicates that the nurse is unclear about the disease transmission?
Correct Answer: C
Rationale: A. This is the correct formula for mixing a bleach solution for disinfection. B. Placing contaminated items in a plastic bag and then in the garbage is the correct method for disposing of contaminated articles. Sharps should first be placed in a rigid labeled container (such as a tin can), bleach solution added, the lid taped, and then placed in a bag for disposal in the garbage. C. Because sharing eating utensils does not transmit HIV, it is unnecessary to separately wash dishes and silverware used by the client. The client is prone to opportunistic and other infections. D. Cleaning with soap and water and then disinfecting with bleach solution is the correct method for cleaning body fluid spills.