Best NCLEX-PN Practice Questions

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Question 1 of 5.

The nurse is assessing a 22-month-old child who is thought to be autistic. During an interview with the nurse, the child's mother makes all of the following statements about his behavior until he was 1 year old. Which statement most strongly suggests that the child may be autistic?

A. He was a good baby and rarely cried when I left the room.'

B. He slept very well after each feeding.'

C. He spit out every new food the first time I gave it to him.'

D. He started to walk without learning to crawl first.'

Explanation: Lack of distress when separated from the caregiver suggests impaired social attachment, a hallmark of autism, more so than feeding or motor milestones.

Question 2 of 5.

The nurse is caring for a client who is being treated for cancer. Which question by the client indicates that the client is not ready for teaching?

A. Am I going to lose my hair?'

B. Should I get a second opinion?'

C. Will this make me really sick?'

D. Will I have to stop exercising at the gym?'

Explanation: Asking about a second opinion suggests denial or doubt about the diagnosis, indicating the client is not ready to engage in teaching about treatment.

Question 3 of 5.

The nurse caring for a client who is receiving chemotherapy is concerned about the client's nutritional status. What should the nurse encourage the client to do?

A. Increase the amount of spices in the food

B. Avoid red meats

C. Medicate with prochlorperazine (Compazine) before meals

D. Eat foods that are hot in temperature

Explanation: Increasing spices enhances flavor, encouraging intake, as chemotherapy often dulls taste buds, impacting nutritional status.

Question 4 of 5.

In planning care for a client with a platelet count of 8000 and a WBC of 8000, the nurse can expect to:

A. remove flowers from the room.

B. encourage fresh fruit and vegetables.

C. use a strict hand washing technique.

D. take the client's temperature frequently.

Explanation: A low platelet count (8000) increases bleeding risk, but strict hand washing is critical for infection prevention, as WBC of 8000 is normal but still warrants vigilance.

Question 5 of 5.

The nurse is teaching a client with a WBC of 1400. Which statement made by the client indicates an understanding of the teaching?

A. I will eat fresh fruits and vegetables to avoid constipation.'

B. I will stay away from my cat.'

C. I will avoid crowded places.'

D. I will wash all my fruits and vegetables before I eat them.'

Explanation: A low WBC (1400) indicates high infection risk; avoiding crowded places reduces exposure to pathogens, showing understanding of infection precautions.