NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Question 1 of 5
The parents of a school-age child who has sickle cell anemia are discussing recreational activities for their child. Which comment indicates that the parents understand the child's needs?
Correct Answer: D
Rationale: Frequent hydration prevents dehydration, a trigger for sickle cell crisis, showing parental understanding. High-impact sports like soccer or track risk overexertion or injury.
Question 2 of 5
The nurse is caring for clients on the neurology unit. What would be the MOST appropriate action for the nurse to take after noting that a client suddenly developed a fixed and dilated pupil?
Correct Answer: D
Rationale: A fixed and dilated pupil is a neurological emergency, often indicating increased intracranial pressure (ICP) or brain herniation. Immediate physician notification is critical for timely intervention. Reassessing in five minutes delays care, checking visual acuity is irrelevant, and lowering the bed could worsen ICP.
Question 3 of 5
The licensed practical nurse is preparing to administer an injection of vitamin K to a newborn. The nurse should administer the injection in the:
Correct Answer: B
Rationale: The vastus lateralis is the preferred site for newborn IM injections due to its large muscle mass and safety. Other sites are less developed or risk nerve damage.
Question 4 of 5
The nurse is caring for a client with a history of seizures who is prescribed phenytoin (Dilantin). Which of the following side effects should the nurse monitor for?
Correct Answer: B
Rationale: Phenytoin commonly causes gingival hyperplasia, requiring oral hygiene monitoring. Weight gain (
A), hypoglycemia (
C), and hair loss (
D) are not typical side effects of phenytoin.
Extract:
If your patient is in pain most of the day, administer analgesic doses
Question 5 of 5
If your patient is in pain most of the day, administer analgesic doses
Correct Answer: B
Rationale: Regularly scheduled analgesics maintain consistent pain control.