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NCLEX PN Practice Test Questions

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Question 1 of 5

Which client is most at risk for methicillin-resistant Staphylococcus aureus infection?

Correct Answer: D

Rationale: The 80-year-old with a hemodialysis catheter in a long-term care facility (
D) is at highest risk for MRSA due to invasive devices, frequent healthcare exposure, and communal living. Others (A, B,
C) have lower risk profiles.

Question 2 of 5

The nurse is talking with the parent of a 15-month-old client who is scheduled to receive the varicella vaccine. Which of the following statements would be appropriate for the nurse to make? Select all that apply.

Correct Answer: A,C,D

Rationale: The varicella vaccine may cause a low-grade fever (
A) or a rash at the injection site (
C) as common side effects. A second dose (
D) is required at 4-6 years for full immunity. Aspirin (
B) is contraindicated in children due to Reye’s syndrome risk. Other vaccines (E) can be given concurrently, per CDC guidelines, unless contraindicated.

Question 3 of 5

The nurse is caring for a client who is experiencing hypotension and respiratory depression after administration of IV midazolam. The nurse should anticipate that the client will receive

Correct Answer: D

Rationale: Midazolam, a benzodiazepine, can cause respiratory depression and hypotension in overdose. Flumazenil (
D) is the specific antidote, reversing benzodiazepine effects. Acetylcysteine (
A) treats acetaminophen overdose, benztropine (
B) manages extrapyramidal symptoms, and phentolamine (
C) treats hypertensive crises, none of which apply here.

Question 4 of 5

The nurse is caring for four antepartum clients. Which client should the nurse see first?

Correct Answer: C

Rationale: A suspected ectopic pregnancy is a medical emergency due to the risk of rupture and internal bleeding, which can be life-threatening. Abdominal and shoulder pain are hallmark symptoms, indicating possible referred pain from diaphragmatic irritation. This client requires immediate assessment and intervention, prioritizing over hyperemesis gravidarum (which, while serious, is less immediately life-threatening), molar pregnancy (which needs monitoring but is not an acute emergency), and threatened miscarriage (which requires evaluation but is less urgent without active bleeding or pain).

Question 5 of 5

Which meal should the nurse recommend for a client at 13 weeks gestation?

Correct Answer: A

Rationale: Baked chicken, greens, cookie, and juice (
A) provide balanced nutrients without high-mercury fish (
B), deli meats (
C), or undercooked liver (
D), which pose risks in pregnancy.

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