NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
The nurse monitors a client who has followed a vegan diet for several years. Which client statement would indicate a possible complication resulting from a vegan diet?
Correct Answer: A
Rationale: Night vision disturbances suggest vitamin A deficiency, common in vegan diets lacking sufficient beta-carotene sources. Insomnia, scaly skin, and tingling are less specific to vegan diet complications, potentially relating to other causes like stress or neuropathy.
Question 2 of 5
How often must physical restraints be released?
Correct Answer: A
Rationale: Physical restraints must be released every 2 hours to assess skin, circulation, and comfort, with checks every 30 minutes while restrained. Safety and Infection Control
Question 3 of 5
An adolescent tells the nurse that she is afraid she will get AIDS and asks how she can avoid this. What should be included in the nurse's response? Select all that apply.
Correct Answer: C,E
Rationale: Condoms reduce HIV transmission risk during sexual activity, and not sharing razors prevents bloodborne exposure. Public toilets, abstinence until marriage, oral contraceptives, and sharing glasses are not relevant to HIV prevention.
Question 4 of 5
In taking the history of a pregnant woman, which of the following would the nurse recognize as the primary contraindication for breast feeding?
Correct Answer: D
Rationale: Use of cocaine on weekends. Cocaine use is harmful to the breastfed infant, even with intermittent use.
Extract:
Vital signs
Temperature 98.6 F (37 C)
Heart rate 146/min
Respirations 42/min
O2 saturation or SpO2 98%
Question 5 of 5
A nurse auscultates a loud cardiac murmur on a newborn with suspected trisomy 21 (Down syndrome). A genetic screen and an echocardiogram are scheduled that day. The neonate’s vital signs are shown in the exhibit. What would be an appropriate action for the nurse to complete next?
Correct Answer: B
Rationale: Documenting the murmur is appropriate as genetic screening and an echocardiogram are already scheduled, indicating the provider is aware. Calling the provider is unnecessary, knee-chest position is for specific heart defects, and oxygen is not indicated without respiratory distress.