NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
Which of the following is a correctly stated nursing diagnosis for a client with abruptio placentae?
Correct Answer: D
Rationale: Abruptio placentae causes hemorrhage due to premature placental separation, leading to fluid volume deficit, a major nursing concern. Infection (
A) is unrelated, and choices B and C are incorrectly phrased nursing diagnoses.
Question 2 of 5
Order: Neupogen (filgrastim) 300 mcg subcutaneous. stat. The patient weighs 132 pounds. The medication is available 300 mcg/mL. If the recommended dose is 5 mcg/kg/d/kg pres. 10 studeoen the prescribed dose is safe, how many milliliters will you administer?
Correct Answer: D
Rationale: 132 pounds ÷ 2.2 = 60 kg. Safe dose: 5 mcg/kg × 60 kg = 300 mcg, matching the order. 300 mcg ÷ 300 mcg/mL = 1 mL. Other options are incorrect.
Extract:
A 25-year-old young male comes into the ER following a motorbike accident. Upon obtaining a recent history, the patient states he fell in the ground and hit his head on the pavement. He reports that he was unconscious for 15 seconds and then confused for several minutes.
Question 3 of 5
What is the first diagnostic test to perform on this patient?
Correct Answer: C
Rationale: A CT scan must be performed as soon as possible to rule out a cerebral hemorrhage. Blurred vision and loss of consciousness may indicate a severe brain injury.
Extract:
Question 4 of 5
The nurse assesses the development of a three-month-old boy in the well-baby clinic. Which of the following behaviors, if observed by the nurse, would be UNEXPECTED?
Correct Answer: B
Rationale: Grasping objects is expected around 6 months, not 3 months, making this behavior unexpected. Holding the head erect (
A), turning to sound (
C), and spontaneous smiling (
D) are typical for a 3-month-old.
Question 5 of 5
The nurse is caring for a client who is on bed rest for an extended period of time. When planning care, the nurse knows that which nursing action will do most to help prevent muscle atrophy?
Correct Answer: D
Rationale: Active exercises, when possible, maintain muscle strength and prevent atrophy most effectively. Passive ROM, turning, or position changes are less effective for muscle preservation.