NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
The nurse just administered routine immunizations to a healthy 15-month-old. What information should the nurse reinforce with the caregivers before they leave the clinic?
Correct Answer: C
Rationale: Redness and mild fever (
C) are common post-immunization reactions. A temperature above 100 F (
A) is too low a threshold for concern, fussiness for a week (
B) is excessive, and activity restriction (
D) is unnecessary.
Question 2 of 5
The nurse is caring for a client who has congestive heart failure. Which finding indicates that her condition is getting worse?
Correct Answer: B
Rationale: A decrease in blood pressure suggests worsening cardiac output in congestive heart failure, indicating decompensation.
Question 3 of 5
All of the following clients assigned to LPN/LVN ring their call bells. Which client needs the most immediate attention?
Correct Answer: C
Rationale: Chest pain during a blood transfusion suggests a possible transfusion reaction, a life-threatening emergency requiring immediate intervention. Bathroom needs, arthritis pain, or postoperative pain are less urgent.
Question 4 of 5
A nurse is reinforcing teaching to a client that breastfeeds who has been diagnosed with mastitis of the right breast. Which of the following instructions should be included? Select all that apply.
Correct Answer: B, D
Rationale: Increased fluids (
B) and ibuprofen (
D) manage dehydration and pain. Ceasing breastfeeding (
A) or reducing feeds (
C) can worsen mastitis, and tight bras (E) may increase discomfort.
Question 5 of 5
During the immediate postoperative period after a colostomy, which stoma appearance requires the licensed practical nurse to contact the supervising registered nurse immediately?
Correct Answer: B
Rationale: A dusky stoma (
B) indicates ischemia, requiring immediate reporting. Brick red (
A), pink with oozing (
C), and no stool (
D) are normal post-colostomy findings.