NCLEX-PN Practice Questions
1. Which of the following meal choices is suitable for a 6-month-old infant?
A. Egg white, formula, and orange juice
B. Apple juice, carrots, whole milk
C. Rice cereal, apple juice, formula
D. Melba toast, egg yolk, whole milk
2. A 5-month-old infant is admitted to the ER with a temperature of 6°F and irritability. The mother states that the child has been listless for the past several hours and that he had a seizure on the way to the hospital. A lumbar puncture confirms a diagnosis of bacterial meningitis. The nurse should assess the infant for:
A. Periorbital edema
B. Tenseness of the anterior fontanel
C. Positive Babinski reflex
D. Negative scarf sign
3. The treatment protocol for a client with acute lymphatic leukemia includes prednisone, methotrexate, and cimetadine. The purpose of the cimetidine is to:
A. Decrease the secretion of pancreatic enzymes
B. Enhance the effectiveness of methotrexate
C. Promote peristalsis
D. Prevent a common side effect of prednisone
4. A client has returned to his room following an esophagoscopy. Before offering fluids, the nurse should give priority to assessing the client's:
A. Level of consciousness
B. Gag reflex
C. Urinary output
D. Movement of extremities
5. According to Erickson's stage of growth and development, the developmental task associated with middle childhood is:
NCLEX-PN Practice Question Answers
1. (C)Rice cereal, apple juice, and formula are suitable foods for the 6-month-old infant. Whole milk, orange juice, and eggs are not suitable for the young infant.
2. (B) Tenseness of the anterior fontanel indicates an increase in intracranial pressure. Periorbital edema is incorrect because periorbital edema is not associated with meningitis. Positive Babinski reflex is incorrect because a positive Babinski reflex is normal in the infant. Negative scarf sign is incorrect because it relates to the preterm infant, not the infant with meningitis.
3. (D) A common side effect of prednisone is gastric ulcers. Cimetadine is given to help prevent the development of ulcers. Other answer choices do not relate to the use of cimetadine; therefore, they are incorrect.
4. (B) The client's gag reflex is depressed before having an EGD. The nurse should give priority to checking for the return of the gag reflex before offering the client oral fluids. Level of consciousness is incorrect because conscious sedation is used. Urinary output and movement of extremities are not affected by the procedure; therefore, they are incorrect.
5. (D) According to Erikson's Psychosocial Developmental Theory, the developmental task of middle childhood is industry versus inferiority. Trust is incorrect because it is the developmental task of infancy. Initiative is incorrect because it is the developmental task of the school-age child. Independence is incorrect because it is not one of Erikson's developmental stages.