PN NCLEX Practice Exam Questions

Question 1 of 5

A non-stress test has been ordered for a pregnant client with diabetes mellitus. Non-stress testing is a part of the diabetic's prenatal care because:

A. Fetal movement is adversely affected by diabetes.B. Maternal insulin levels can have a negative effect on fetal energy.C. Diabetes can adversely affect development of placental vessels.D. Fetal lung maturity is most easily determined by non-stress testing.

Correct Answer: C

Rationale: Diabetes can impair placental vessel development, reducing oxygen and nutrient delivery to the fetus, necessitating non-stress testing to monitor fetal well-being. Fetal movement and lung maturity are assessed differently, and insulin's effect is indirect.

Question 2 of 5

A client who had a total knee replacement is to be discharged today. Which statement that the client makes indicates a need for further instruction?

A. When I am walking, I will wear that ugly immobilizer.'B. I will sit with my leg elevated.'C. I think I understand how to use the continuous passive motion machine.'D. I won't put any weight at all on my affected leg.'

Correct Answer: D

Rationale:
Total knee replacement typically allows partial weight-bearing with assistance post-surgery; complete non-weight-bearing suggests misunderstanding of mobility instructions.

Question 3 of 5

The nurse is reinforcing education about home care to the parent of a 10-year-old with cystic fibrosis. Which of the following statements by the parent indicates that teaching has been effective? Select all that apply.

A. Chest physiotherapy is administered only if respiratory symptoms worsen.B. I will give my child pancreatic enzymes with all meals and snacks.C. I will increase my child's salt intake during hot weather.D. Our child will need a high-carbohydrate, high-protein diet.E. We will limit our child's participation in sports activities.

Correct Answer: B,C,D

Rationale: Pancreatic enzymes with meals (
B), increased salt in hot weather (
C), and a high-calorie, high-protein diet (
D) are correct for cystic fibrosis management. Chest physiotherapy (
A) is routine, not symptom-based, and limiting sports (E) is unnecessary unless advised.

Question 4 of 5

A parent tells the nurse that their 6 year-old child who normally enjoys school, has not been doing well since the grandmother died 2 months ago. Which statement most accurately describes thoughts on death and dying at this age?

A. Death is personified as the bogeyman or devilB. Death is perceived as being irreversibleC. The child feels guilty for the grandmother's deathD. The child is worried that he, too, might die

Correct Answer: A

Rationale: Death is personified as the bogeyman or devil. Personification of death is typical of this developmental level.

Question 5 of 5

The nurse is caring for an infant who has a prescription for amoxicillin 25 mg/kg/day in 2 divided doses. The client weighs 16.5 lb (7.5 kg). The nurse has amoxicillin oral suspension 125 mg/5 mL available. How many mL should the nurse administer to the client with each dose? Record your answer using 2 decimal places.

Correct Answer: 3.75 mL/dose

Rationale: Calculation: 7.5 kg × 25 mg/kg/day = 187.5 mg/day. Divided into 2 doses = 93.75 mg/dose. 125 mg/5 mL = 25 mg/mL. 93.75 mg ÷ 25 mg/mL = 3.75 mL/dose (
A).

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