NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
The nurse should consider which of the following client reports as an indication of an allergic reaction?
Correct Answer: D
Rationale: Lip swelling (
D) indicates an allergic reaction to food. Broccoli/cabbage (
A) affects warfarin's efficacy, headaches (
B) are a side effect of nitroglycerin, and swelling (
C) is a side effect of felodipine.
Question 2 of 5
A client just diagnosed with methicillin-resistant Staphylococcus aureus septic arthritis is receiving the first dose of IV vancomycin. Which finding is most concerning to the nurse?
Correct Answer: D
Rationale: Wheezing and hives (
D) indicate a possible anaphylactic reaction, the most concerning finding. Muscle pain (
A), flushing/pruritus (
B), and low blood pressure (
C) are less immediately life-threatening.
Question 3 of 5
The nurse is providing teaching to the parents of a 1-year-old who was just prescribed a 10-day course of amoxicillin for acute otitis media. Which of the following instructions are appropriate for the nurse to include in the teaching? Select all that apply.
Correct Answer: C, E
Rationale: Returning if no improvement (
C) and hearing screening (E) are appropriate. Decongestants (
A) are not recommended, loose stools (
B) do not warrant stopping, and stopping early (
D) risks resistance.
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
A client is admitted with Parkinson's disease. The client has been taking Carbidopa/levodopa (Sinemet) for 1 year. Which clinical manifestation would be the most important to report?
Correct Answer: B
Rationale: Spasmodic eye winking could indicate a toxicity or overdose and should be reported to the physician. Other signs of toxicity include involuntary twitching of muscles, facial grimaces, and severe tongue protrusion. Answers A, C, and D are incorrect because they are side effects of the drug.