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
The school nurse is reviewing the immunization record of the 8-year-old incoming student. Which finding warrants further follow-up by the nurse?
Correct Answer: B
Rationale: Hepatitis B requires 3 doses for full immunization, so 2 doses warrant follow-up.
Question 3 of 5
A man who is being treated for paranoia walks toward the nurse's desk and observes the nurse making a telephone call. A few minutes later, he accuses the nurse of having called the police. How should the nurse interpret his behavior?
Correct Answer: D
Rationale: Interpreting a neutral action (phone call) as personally threatening indicates ideas of reference, a common feature of paranoia.
Question 4 of 5
The client with newly diagnosed breast cancer asks the nurse to explain the advantages of a sentinel lymph node biopsy (SLNB). Which explanation should the nurse state to the client?
Correct Answer: B
Rationale: A. The SLNB will not improve the ability of the surgeon to remove all of the tumor. B. An SLNB uses a radioactive substance or dye to help to identify axillary lymph node involvement before axillary dissection has occurred. If the sentinel node is identified and is found to be negative for tumor cells, then further axillary lymph node dissection is unnecessary. Thus the lymph drainage of the involved arm can be preserved. C. The SLNB will not make breast reconstruction easier to perform. D. The use of hormonal therapy for breast cancer treatment is determined by the receptor status of the tumor, not by the SLNB results.
Question 5 of 5
The client being seen in a clinic relates a history of just returning on a flight from El Salvador after going mountain climbing. The client is diagnosed by the HCP as having giardiasis. Which conclusion should the nurse make regarding how the client most likely contracted the infection?
Correct Answer: D
Rationale: Giardiasis is contracted via contaminated food or water, common in areas with poor sanitation, such as during travel.