NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
A 25-year-old client is about to undergo a unilateral orchiectomy for treatment of testicular cancer. The client says to the nurse, 'I'm so worried that my future spouse is going to call off our engagement.' What is the best response by the nurse?
Correct Answer: D
Rationale: Asking about discussions with the spouse (
D) encourages the client to share concerns and clarifies the situation. Options A, B, and C assume specific fears or provide reassurance without exploration.
Question 2 of 5
The nurse is monitoring a client who is in active labor with a cervical dilation of 6 cm. Which finding requires intervention by the nurse?
Correct Answer: A
Rationale: Contraction duration of 95 seconds (
A) is too long and may reduce fetal oxygenation, requiring intervention. Frequency (
B), intensity (
C), and resting tone (
D) are within normal limits.
Question 3 of 5
The nurse is reinforcing teaching about hypoglycemia with a group of clients who have type 1 diabetes mellitus. Which of the following should the nurse include as signs or symptoms of hypoglycemia? Select all that apply.
Correct Answer: A, C, E
Rationale: Diaphoresis (
A), pallor (
C), and trembling (E) are signs of hypoglycemia due to sympathetic activation. Flushing (
B) and polyuria (
D) are not typical.
Question 4 of 5
All of the following clients assigned to LPN/LVN ring their call bells. Which client needs the most immediate attention?
Correct Answer: C
Rationale: Chest pain during a blood transfusion suggests a possible transfusion reaction, a life-threatening emergency requiring immediate intervention. Bathroom needs, arthritis pain, or postoperative pain are less urgent.
Question 5 of 5
While planning care for a 2 year-old hospitalized child, which situation would the nurse expect to most likely affect the behavior?
Correct Answer: B
Rationale: Separation from parents. Separation anxiety is the greatest stress for a toddler during hospitalization.