NCLEX-PN
NCLEX PN Practice Questions Questions
Extract:
Question 1 of 5
Which of the following symptoms is associated with exacerbation of multiple sclerosis?
Correct Answer: C
Rationale: Diplopia (double vision) is a common symptom during multiple sclerosis exacerbations, resulting from demyelination affecting the optic nerves or brainstem.
Question 2 of 5
The nurse is talking about diaper changes with a client who is 48 hours postpartum. The client states, 'I cannot change my baby's diaper as well as you can. Will you change it for me?' Which of the following responses would be appropriate for the nurse to make?
Correct Answer: B
Rationale: Supporting the client while they change the diaper builds confidence and promotes independence.
Question 3 of 5
The evening nurse caring for an adult who had a partial gastrectomy this morning notes that the drainage from the nasogastric tube is bright red. What action should the nurse take?
Correct Answer: B
Rationale: Bright red nasogastric drainage suggests active bleeding post-gastrectomy, requiring immediate reporting to assess for hemorrhage.
Question 4 of 5
The charge nurse is planning assignments for the day. Which clients will require the nursing staff to institute contact precautions? Select all that apply.
Correct Answer: A,B,D
Rationale: MRSA, C. difficile, and VRE require contact precautions due to direct contact transmission. Pertussis and influenza require droplet precautions.
Question 5 of 5
A nurse has administered several blood transfusions over 3 days to a 12 year-old client with Thalassemia. What lab value should the nurse monitor closely during this therapy?
Correct Answer: A
Rationale: Hemoglobin should be in a therapeutic range of approximately 10 g/dl (100 g). This level is low enough to foster the patient’s own erythropoiesis without enlarging the spleen.