NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
The parents of a school-age child who has sickle cell anemia are discussing recreational activities for their child. Which comment indicates that the parents understand the child's needs?
Correct Answer: D
Rationale: Frequent hydration prevents dehydration, a trigger for sickle cell crisis, showing parental understanding. High-impact sports like soccer or track risk overexertion or injury.
Question 2 of 5
When the nurse asks a client to follow a moving finger, the nurse is assessing which cranial nerve?
Correct Answer: C
Rationale: Cranial nerve IV (trochlear) controls the superior oblique eye muscle, responsible for downward and inward eye movement, tested by following a moving finger.
Extract:
John H is a 66-year-old man with a history of heavy smoking presented himself to the ER due to difficulty breathing of 2 years duration. He was prescribed some breathing medication by his family physician. However, for the last two months he noted progression of the severity of symptoms and new medications were prescribed. A week prior to admission, his difficulty in breathing worsened. There was non-productive cough, easy fatiguability and basilar rales. He was diagnosed with respiratory problems with acute exacerbation and stemming pneumonia. He was started on antibiotics, IV solumedrol Q6 hourly, oxygen at 2 L/NC; bed rest; diet as tolerated; and ABG. Mr. H was also diagnosed with effusion of the right lung. He is now scheduled for chest tube insertion.
Question 3 of 5
What prevents air from entering the chest space when a patient has a chest tube?
Correct Answer: A
Rationale: The water seal chamber prevents air re-entry, maintaining negative pleural pressure.
Extract:
A new mother has some questions about PKU.
Question 4 of 5
Which of the following statements made by the nurse is not correct regarding PKU?
Correct Answer: D
Rationale: PKU effects are irreversible if untreated, making this statement incorrect.
Extract:
Question 5 of 5
The nurse is performing a neurologic assessment on a 1-day-old neonate. Which of the following findings would indicate possible asphyxia in utero? Select all that apply:
Correct Answer: C,D,F
Rationale: Failure of the toes to curl downward when the baby's soles are stroked and lack of response to a loud sound can be evidence that neurological damage from asphyxia has occurred. The normal responses would be that the toes curl downward with stroking and that the arms and legs extend in response to a loud noise. Weak, ineffective sucking is another sign of neurologic damage; a neonate should root and suck when the side of his cheek is stroked. A neonate should also grasp a person's finger when it's placed in the palm of his hand, do stepping movements when held upright with the soles touching a surface, and turn toward an object when his cheek is touched by it.