NCLEX PN Practice Tests

NCLEX PN Practice Tests Related

Review NCLEX PN Practice Tests related questions and content

Medication administration record
Allergies: None
Medications Time
Gabapentin: 300 mg orally, every 8 hours 0700, 1500, and 2300
Hydrocodone/acetaminophen: (5 mg/325 mg) orally, every 4 hours Every 4 hours prn
Acetaminophen: 1,000 mg IV, every 6 hours 0600, 1200, 1800, and 2400
Phenytoin: 100 mg orally, every 12 hours 0700 and 1900

The practical nurse on the neurosurgery step-down unit is assisting the registered nurse in the care of a stable client with a closed head injury who is 1 day post-craniotomy. The practical nurse prepares to administer the 7:00 AM medications and reviews the client’s medication administration record. Which prescription prompts the practical nurse to contact the prescribing health care provider for clarification?

  • A. Acetaminophen 1,000 mg IV, every 6 hours
  • B. Gabapentin 300 mg orally, every 8 hours
  • C. Hydrocodone/acetaminophen (5 mg/325 mg) orally, every 4 hours PRN
  • D. Phenytoin 100 mg orally, every 12 hours
Correct Answer: A

Rationale: Acetaminophen 1,000 mg IV is unusual for routine post-craniotomy pain and risks overdose if combined with oral hydrocodone/acetaminophen, requiring clarification. Other medications are standard.

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The nurse is discussing activities to promote language development with the parent of a 2-year-old. Which statement by the parent requires follow-up?

  • A. I have dress-up clothes set out for my child to play with.
  • B. I read brightly-colored picture books with rhymes with my child
  • C. I set out a basket of toy cars when other children come to play
  • D. I will enroll my child to play on a soccer team
Correct Answer: D

Rationale: Enrolling a 2-year-old in soccer is premature, as it does not directly promote language development and is not age-appropriate. Reading rhyming books and facilitating peer play with toys support language skills.

The nurse is preparing the sterile field and supplies for a wet-to-damp dressing change. Which of the following actions by the nurse would require follow-up?

  • A. Drop sterile gauze on the sterile field from 6 inches (15cm ) above
  • B. Keeps the sterile field and sterile gloved hands within view at all times
  • C. Places sterile gauze 2 inches (5 cm) inside the outer edge of the sterile drape
  • D. Pours sterile saline solution from a recapped bottle opened 30 hours ago
Correct Answer: D

Rationale: Using saline from a bottle opened 30 hours ago risks contamination, as sterile solutions are typically discarded after 24 hours. Keeping the field in view and placing gauze appropriately maintain sterility.

The nurse talking with a client with polycythemia vera. Which of the following statements by the client would require follow-up?

  • A. I will drink plenty of water every day
  • B. I should take a low-dose aspirin every day
  • C. I need to have blood removed periodically
  • D. I will continue taking my daily multivitamin with iron
Correct Answer: D

Rationale: Iron supplements can worsen polycythemia vera by increasing red blood cell production. Hydration, aspirin, and phlebotomy are appropriate management strategies.

An adult asks the nurse what could be causing him to have a black tongue and black stools. The following items are in the client's history. Which is most likely to be causing his symptoms?

  • A. He is taking bismuth subsalicylate (Pepto-Bismol) for loose stools.
  • B. He has been eating a lot of beets and broccoli recently.
  • C. He has been taking iron tablets for anemia.
  • D. He eats a lot of red meat.
Correct Answer: A

Rationale: Bismuth subsalicylate commonly causes black tongue and stools, a harmless side effect, unlike the other options.

The nurse is caring for an 8-month-old client with suspected acute otitis media. Which of the following findings would be consistent with the condition? Select all that apply.

  • A. Frequent pulling on the affected ear
  • B. Purulent drainage from the affected ear
  • C. Refusal to eat
  • D. Restlessness and irritability
  • E. Retracted tympanic membranes
Correct Answer: A,C,D

Rationale: Ear pulling, refusal to eat, and irritability are common in otitis media due to pain and inflammation. Purulent drainage is less common unless the eardrum ruptures, and tympanic membranes are typically bulging, not retracted.

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