NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
A 45-year-old client is in a rehabilitation unit receiving long-term care for injuries sustained in a motor vehicle accident. The client's spouse used to stay home but started working to replace the client's lost income. The nurse notices that the client has become withdrawn and increasingly frustrated by small inconveniences. Which statement is the most appropriate first response by the nurse?
Correct Answer: B
Rationale: Acknowledging observed behavior (
B) opens a therapeutic conversation and validates the client's feelings. Asking about the spouse's job (
A), assuming anger (
C), or suggesting a support group (
D) may not address the client's current emotional state.
Question 2 of 5
A nurse is reinforcing fall-prevention teaching to the spouse of a 78-year-old client who recently experienced a stroke. What suggestion by the nurse is most effective in preventing falls?
Correct Answer: C
Rationale: Removing rugs and installing grab bars (
C) directly addresses environmental hazards, the most effective fall prevention strategy. Rising slowly (
A), using a walker (
B), or hiring an aide (
D) are helpful but less comprehensive.
Question 3 of 5
Diagnosis-related groups (DRGs) provide data to
Correct Answer: C
Rationale: Determine reimbursement for a medical diagnosis. DRGs are the basis of prospective payment plans for reimbursement for Medicare clients.
Question 4 of 5
The client with hyperparathyroidism will exhibit signs of:
Correct Answer: C
Rationale: Hyperparathyroidism increases parathyroid hormone, causing hypercalcemia by mobilizing calcium from bones and increasing absorption. Hypokalemia , hyponatremia , and hyperphosphatemia are not typically associated.
Question 5 of 5
The nurse enters an infant's room and observes that the infant is responsive but is choking and turning blue. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Back slaps and chest thrusts (
C) are the appropriate intervention for a choking infant. CPR (
A) is for cardiac arrest, abdominal thrusts (
B) are for older children, and blind sweeps (
D) are dangerous.