NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
Which finding by the nurse suggests that the mother is not giving the toddler iron supplements as ordered?
Correct Answer: B
Rationale: Iron supplements typically cause dark or black stools; light brown stools suggest non-compliance with iron supplementation.
Question 2 of 5
The client with COPD may lose weight despite having adequate caloric intake. When counseling the client in ways to maintain an optimal weight, the nurse should tell the client to:
Correct Answer: D
Rationale: Clients with COPD often have increased metabolic demands and may lose weight.
To maintain optimal weight, they should increase overall caloric intake, including protein, fat, vitamins, and minerals, while possibly decreasing complex carbohydrates to balance the diet. Answer A is incorrect as decreasing activity is not beneficial. Answer B may not be feasible due to respiratory limitations. Answer C does not address the need for increased calories and nutrients.
Question 3 of 5
A client with borderline personality disorder says to the nurse, 'You're the only one I trust around here. The others don't know what they are doing and they don't care about anyone except themselves. I only want to talk with you.' What is the priority nursing action?
Correct Answer: D
Rationale: Reinforcing boundaries (
D) addresses splitting behavior and maintains therapeutic relationships. Rotating staff (
A), assigning the preferred nurse (
B), or reassuring competence (
C) may reinforce manipulation.
Extract:
Vital signs
Temperature 95 F (35 C)
Blood pressure 90/50 mm Hg
Heart rate 50/min
Respirations 6/min
SpO2 83%
Question 4 of 5
The nurse is caring for a client with hypothyroidism who has become lethargic and difficult to rouse. Which action is the priority?
Correct Answer: B
Rationale: Lethargy and unresponsiveness in hypothyroidism suggest myxedema coma, requiring immediate airway management with ventilation (
B). Levothyroxine (
A), warming (
C), and lab review (
D) are secondary.
Extract:
Laboratory reference ranges
Glucose (random) – newborn < 24 hours old
40-60 mg/dL
(2.2-3.3 mmol/L)
Question 5 of 5
The nurse is monitoring a neonate 1 hour after spontaneous vaginal delivery. Which of the following are expected findings? Select all that apply.
Correct Answer: A, B, E
Rationale: Respirations of 56 (
A), glucose of 60 mg/dL (
B), and white papules (milia) (E) are normal in neonates. A holosystolic murmur (
C) and single transverse crease (
D) suggest congenital abnormalities.