NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
Which of the following individuals may legally give informed consent?
Correct Answer: C
Rationale: The 72-year-old female, presumed competent, can give informed consent. Those with advanced Alzheimer's, non-emancipated minors, and infants cannot legally consent. Coordinated Care
Question 2 of 5
The physician orders the antibiotics ampicillin (Omnipen) and gentamicin (Garamycin) for a newly admitted client with an infection. The nurse should:
Correct Answer: B
Rationale: Ampicillin and gentamicin are pH-incompatible, so they must be given sequentially with thorough flushing to prevent precipitation in the IV line. Simultaneous or delayed administration is inappropriate. Pharmacological Therapies
Question 3 of 5
The charge nurse has a health care team that consists of 1 practical nurse (PN), 1 unlicensed assistive personnel (UAP) and 1 PN nursing student. Which assignment should be questioned by the nurse manager?
Correct Answer: A
Rationale: The care for a new admission should be performed by an RN. Since the client was admitted at the change of shifts, the stability of the client would not have been established.
Question 4 of 5
The home health nurse reviews the serum laboratory test results for a client with seizures. The phenytoin level is 27 mcg/mL. The client makes which statement that may indicate the presence of dose-related drug toxicity and prompt the nurse to notify the supervisory registered nurse?
Correct Answer: A
Rationale: A phenytoin level of 27 mcg/mL is above the therapeutic range (10-20 mcg/mL), indicating potential toxicity. Unsteadiness when walking suggests neurological toxicity, such as ataxia, which requires immediate reporting. Nocturia, metallic taste, and gingival hyperplasia are less urgent or unrelated.
Question 5 of 5
The nurse is caring for a 70-year-old client with diabetic retinopathy. Which of the following statements by the client would be a priority to follow up?
Correct Answer: A
Rationale: A 'curtain' over half the vision suggests retinal detachment, a medical emergency requiring immediate intervention to prevent permanent vision loss. Reading glasses are normal, cloudy vision or glare may indicate cataracts, and less bright colors are age-related, but none are as urgent.