NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
When counseling parents of a child who has recently been diagnosed with hemophilia, what must the nurse know about the offspring of a normal father and a carrier mother?
Correct Answer: D
Rationale: There is a 25% chance a daughter will be a carrier. Hemophilia A is sex-linked recessive, with a 25% chance of a carrier female per pregnancy.
Question 2 of 5
The nurse is speaking at a community meeting about personal responsibility for health promotion. A participant asks about chiropractic treatment for illnesses. What should be the focus of the nurse's response?
Correct Answer: B
Rationale: Spinal column manipulation. The theory underlying chiropractic is that interference with transmission of mental impulses between the brain and body organs produces diseases. Such interference is caused by misalignment of the vertebrae. Manipulation reduces the misalignment (subluxation).
Question 3 of 5
The nurse is observing client care activities on the unit. It would require completion of an incident report if
Correct Answer: B
Rationale: Administering escitalopram within 24 hours of phenelzine, a monoamine oxidase inhibitor, risks serotonin syndrome, a life-threatening condition, requiring an incident report. Holding clozapine for low neutrophils, holding isosorbide for low blood pressure, and giving warfarin for a normal INR are appropriate actions.
Question 4 of 5
A hospitalized child suddenly has a seizure while his family is visiting. The nurse notes whole body rigidity followed by general jerking movements. The child vomits immediately after the seizure. A priority nursing diagnosis for the child is
Correct Answer: D
Rationale: The tonic-clonic seizure appears suddenly and often leads to brief loss of consciousness. The greatest risk for the child is from airway blockage, as might follow aspiration.
Question 5 of 5
Central venous access devices (CVADs) are frequently utilized to administer chemotherapy. What is an advantage of using CVADs for chemotherapeutic agent administration?
Correct Answer: C
Rationale: Many chemotherapeutic agents are vesicants, damaging smaller peripheral veins. CVADs allow safe administration into larger veins. CVADs are more expensive, dosing varies, and home administration is rare. Pharmacological Therapies