NCLEX-PN
Best NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse on the pediatric unit is preparing to administer acetaminophen according to weight to the 6-year-old diagnosed with chicken pox. The recommended dose is 15 mg per kilogram. How many milligrams should the nurse give if the child weighs 54 lb?
Correct Answer: 368 mg
Rationale: Convert 54 lb to kg: 54 ÷ 2.2 = 24.55 kg. Calculate dose: 15 mg/kg × 24.55 kg = 368.25 mg, rounded to 368 mg.
Question 2 of 5
An adult is being treated for depression. One day he appears at the nursing station and gives one of the nurses his favorite book. He smiles happily and says, 'I want you to have this.' The nurse's response is based on which understanding?
Correct Answer: D
Rationale: Giving away valued possessions can indicate suicidal intent, as the client may be preparing to end their life.
Question 3 of 5
The nurse is teaching a group of persons in the community about risk factors for cancer. Which of the following is not a risk factor and should not be included in the teaching?
Correct Answer: C
Rationale: Unexplained weight gain is not a typical cancer risk factor, unlike bowel changes, swallowing difficulty, or hoarseness, which may indicate malignancy.
Question 4 of 5
A 21-year-old client starts crying during a clinic visit and says to the nurse, "I found a lump in my breast last night; I'm scared I might have cancer!" Which fact should the nurse consider when formulating a response to the client?
Correct Answer: C
Rationale: A. Breast cancer is diagnosed most commonly in women older than 50 years. B. A nondiscrete possible mass or thickening has a lower (not higher) index of suspicion for breast cancer. C. Fibroadenomas are the most common benign breast neoplasm and most often occur in women younger than 25 years. D. Mastitis is a bacterial infection of the breast tissue and is not contagious, and therefore it would not be spread by dormitory living.
Question 5 of 5
The adolescent client diagnosed with HIV has a CD4-positive T-lymphocyte count of 160 mcL. The nurse evaluates that interventions have been most effective when which outcome in the client's plan of care is achieved?
Correct Answer: C
Rationale: A CD4 count of 160 mcL indicates severe immunosuppression; preventing opportunistic infections is the most critical outcome.